Provider Demographics
NPI:1437657947
Name:BEDELL, SARAH BROOKE (BCBA, LBA (MS))
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:BROOKE
Last Name:BEDELL
Suffix:
Gender:F
Credentials:BCBA, LBA (MS)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1306
Mailing Address - Street 2:
Mailing Address - City:SEMMES
Mailing Address - State:AL
Mailing Address - Zip Code:36575-1306
Mailing Address - Country:US
Mailing Address - Phone:251-410-5867
Mailing Address - Fax:251-410-5968
Practice Address - Street 1:THE LEARNING TREE, INC
Practice Address - Street 2:2185 NORMANDIE DRIVE
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36111-2728
Practice Address - Country:US
Practice Address - Phone:205-612-7797
Practice Address - Fax:334-283-2350
Is Sole Proprietor?:No
Enumeration Date:2018-01-30
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
BCBA1-17-28398103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst