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NPI Code Detail

MEDICARE: CHRISTOPHER FRUTOS

MEDICARE: CHRISTOPHER FRUTOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1780548891
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER FRUTOS
Provider Business Mailing Address
First Line : 268 BUSH ST STE 3039
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94104-3503
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4760 S HIGHLAND DR STE 535
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84117-5149
Country : US
Telephone Number : 888-362-7970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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Directions to “ CHRISTOPHER FRUTOS ” Practice Location

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