Individual
KA WAI WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 E CENTER ST, IVINS, UT 84738-6790
(435) 222-1236
Mailing address
255 E CENTER ST, IVINS, UT 84738-6790
(435) 222-1236
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
03/02/2026
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