Individual provider · Type 1 NPI

Maryam Bedell, MA-A, RBT

Mental Health Counselor · Fort Wayne, IN

NPI number 1205409588 Active

Practice location

1400 Airport North Office Park Ste D
Fort Wayne, IN 46825-6723

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X88003185A (IN)
Behavior Technician 106S00000XRBT-21-176690 (IN)

Mental Health Counselor: Definition to come...

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About NPI 1205409588

Maryam Bedell, MA-A, RBT's National Provider Identifier is 1205409588, issued on Jul 23, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Feb 3, 2026.