Shane Peter Damico

Behavior Technician · Benbrook, TX

Individual Active NPI

NPI number 1023996964

Practice location

6220 Southwest Blvd
Benbrook, TX 76109-6906
Phone
(855) 223-7123
Fax
(619) 374-7134

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NPI record

NPI
1023996964
Entity type
Individual (Type 1)
Enumeration date
August 26, 2025
Last updated
August 26, 2025
Certified
August 26, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

PO Box 33568
San Diego, CA 92163-3568
Phone
(855) 223-7123
Fax
(619) 374-7134

About Shane Damico

Shane Peter Damico is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 6220 Southwest Blvd, Benbrook, TX 76109-6906. The NPI number 1023996964 was assigned on August 26, 2025 and the record was last updated on August 26, 2025.

Frequently asked questions

What is the NPI number of Shane Peter Damico?

The NPI number is 1023996964.

What is the phone number of Shane Damico?

The phone number listed for the practice location is (855) 223-7123.

Where is Shane Damico located?

6220 Southwest Blvd, Benbrook, TX 76109-6906.

What is the taxonomy code for Shane Damico?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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