MEDICARE: MISS DAMARIS LIZBETH RODRIGUEZ

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
1	106S00000X	Behavior Technician		TX

General Provider Information

NPI Number	:	1578408456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS DAMARIS LIZBETH RODRIGUEZ

Provider Business Mailing Address
First Line	:	9314 RYDER DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78254-2000
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2010 S CYNTHIA ST STE 103
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78503-1387
Country	:	US
Telephone Number	:	956-462-1835
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “ MISS DAMARIS LIZBETH RODRIGUEZ ” Practice Location

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