Individual
MARYAM BEDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-A,RBT
Contact information
Practice address
1400 AIRPORT NORTH OFFICE PARK STE D, FORT WAYNE, IN 46825-6723
(260) 702-9241
Mailing address
1400 AIRPORT NORTH OFFICE PARK STE D, FORT WAYNE, IN 46825-6723
(260) 702-9141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88003185A
IN
106S00000X
Behavior Technician
RBT-21-176690
IN
Other
Enumeration date
07/23/2021
Last updated
02/03/2026
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