IndividualActive
Acleo Katusabe
NPI 1073472296 · Attendant Care Provider · Laveen, AZ
Provider details
- NPI number
- 1073472296
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
Practice location
4822 W Gwen St
Laveen, AZ 85339-4200
Phone: (336) 405-7510
Approximate (ZIP-level) locationGet directions
Mailing address
4822 W Gwen St
Laveen, AZ 85339-4200
Registry dates
- Enumerated
- 2026-01-22
- Last updated
- 2026-01-22
- Certified
- 2026-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.