Provider Demographics
NPI:1780041137
Name:BARNES, ARETHA
Entity Type:Individual
Prefix:DR
First Name:ARETHA
Middle Name:
Last Name:BARNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 WINDSOR SHORES DR APT 11B
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-1713
Mailing Address - Country:US
Mailing Address - Phone:803-529-4072
Mailing Address - Fax:
Practice Address - Street 1:3415 BELLINGHAM RD
Practice Address - Street 2:NONE
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-5520
Practice Address - Country:US
Practice Address - Phone:803-529-4072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-15
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst