MEDICARE: SUEANN BEDELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1013801638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUEANN BEDELL

Provider Business Mailing Address
First Line	:	1419 FARMCREST WAY
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20905-6027
Country	:	US
Telephone Number	:	202-749-2800
Fax Number	:

Provider Business Practice Location Address
First Line	:	12530 FAIRWOOD PKWY STE 102-1126
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20720-6356
Country	:	US
Telephone Number	:	410-995-8388
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2025
Last Update Date	:	06/06/2025

Similar Medicare Providers

1730066416 — PEACEFUL HEALING THERAPEUTIC SERVICES LLC
Practice Location Address:

12530 FAIRWOOD PKWY
BOWIE, MD
20720-6356

Practice Phone: 202-656-3734
Practice Fax:

1790500437 — DAVITTA JONES
Practice Location Address:

12530 FAIRWOOD PKWY STE 1021251
BOWIE, MD
20720-6356

Practice Phone: 301-818-3909
Practice Fax:

1154216729 — KYLEE JOHNSON
Practice Location Address:

12530 FAIRWOOD PKWY STE 102-1126
BOWIE, MD
20720-6356

Practice Phone: 410-995-8388
Practice Fax:

1770470254 — ETHELAURA CARE CLINICS LLC
Practice Location Address:

12530 FAIRWOOD PKWY STE 102-307
BOWIE, MD
20720-6356

Practice Phone: 301-728-7200
Practice Fax:

1154218543 — ETHELAURA CARE CLINICS LLC
Practice Location Address:

12530 FAIRWOOD PKWY STE 102-307
BOWIE, MD
20720-6356

Practice Phone: 301-728-7200
Practice Fax:

1316829807 — MOBILE LAB AND WELLNESS
Practice Location Address:

12530 FAIRWOOD PKWY
BOWIE, MD
20720-6356

Practice Phone: 443-935-8076
Practice Fax:

Directions to “ SUEANN BEDELL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.