MEDICARE: YAN WU

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	RBT-26-509964	NV

General Provider Information

NPI Number	:	1255286209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAN WU

Provider Business Mailing Address
First Line	:	8663 HALCON AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-1383
Country	:	US
Telephone Number	:	702-600-0099
Fax Number	:

Provider Business Practice Location Address
First Line	:	8663 HALCON AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-1383
Country	:	US
Telephone Number	:	702-600-0099
Fax Number	:

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

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “ YAN WU ” Practice Location

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