Individual provider · Type 1 NPI
Cameron Gregory Kirk-Lutcher, DSP
Child Intellectual and/or Developmental Disabilities Respite Care · Mesa, AZ
NPI number
1275428419
Active
Practice location
2020 E Inverness Ave Apt 1022
Mesa, AZ 85204-6972
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Chore Provider | 372500000X | None listed |
| Adult Companion | 372600000X | None listed |
| Day Training/Habilitation Specialist | 373H00000X | None listed |
| Personal Care Attendant | 3747P1801X | None listed |
| Homemaker | 376J00000X | None listed |
| Respite Care | 385H00000X | None listed |
| Child Mental Illness Respite Care | 385HR2055X | None listed |
| Child Physical Disabilities Respite Care | 385HR2065X | None listed |
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | None listed |
Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
About NPI 1275428419
Cameron Gregory Kirk-Lutcher, DSP's National Provider Identifier is 1275428419, issued on Jun 10, 2025. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Mesa, AZ. The record was last updated on Jun 10, 2025.