Individual
MARY LYNN BEWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
719 SPENCER ST, LOGANSPORT, IN 46947-3583
(419) 410-7514
Mailing address
4535 N HAVEN AVE, TOLEDO, OH 43612-2350
(419) 410-7514
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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