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: |