NPI 1073472296
Acleo Katusabe
Practice location
- Address
- 4822 W Gwen St, Laveen, AZ 85339-4200
- Phone
- (336) 405-7510
Registered specialties (3)
Attendant Care Provider
Primary
Behavior Technician
Non-emergency Medical Transport (VAN)
Registry record
- NPI
- 1073472296
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Jan 2026
- Record last updated
- 22 Jan 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.