Da Costa Wazir, Kara

Da Costa Wazir, Kara is an individual health care provider with primary practice located at 415 Medical Dr Ste A100 , Bountiful UT 84010-4995. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Da Costa Wazir, Kara can be contacted via phone (801) 683-1062.

Contact Information

Primary practice address
415 Medical Dr Ste A100 Bountiful UT 84010-4995
Phone: (801) 683-1062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1811468648
LBN Legal business name Da Costa Wazir, Kara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2018
Last updated Jul 20th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811468648 NPPES
Utah MEDICAID R414-1

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