Healthcare Provider Details

I. General information

NPI: 1861338568
Provider Name (Legal Business Name): CESAR ABURTO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3446 N 4500 E
MURTAUGH ID
83344-5014
US

IV. Provider business mailing address

3446 N 4500 E
MURTAUGH ID
83344-5014
US

V. Phone/Fax

Practice location:
  • Phone: 208-432-2947
  • Fax: 208-432-2947
Mailing address:
  • Phone: 208-432-2947
  • Fax: 208-432-2947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: