Most Relevant Information
Provider Data
| NPI Number: | 1003536558 |
| Provider Name: | LYNZI NICCOLE RODGERS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/02/2022 |
| Last Updated: | 09/02/2022 |
Provider Practice Location
5706 ROWLETT RD STE 500
ROWLETT
TX
750893463
Practice Location Phone/Fax
| Phone: | 4693041037 |
| Fax: |
Provider Mailing Location
5706 ROWLETT RD STE 500
ROWLETT
TX
750893463
Provider Mailing Phone/Fax
| Phone: | 4693041037 |
| Fax: |