Individual
JACOB BEDUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 S MORTON ST, SUITE 010, BLOOMINGTON, IN 47403-2460
(812) 322-0313
(812) 610-1814
Mailing address
9900 GILMORE RIDGE RD, NASHVILLE, IN 47448-9731
(812) 322-0313
(812) 610-1814
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22847
IN
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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