Individual
IVY WAMBUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12104 172ND STREET CT E, PUYALLUP, WA 98374-4509
(775) 224-0445
Mailing address
12104 172ND STREET CT E, PUYALLUP, WA 98374-4509
(775) 224-0445
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
LABA.AB.70064699
WA
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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