Maria Sofia Lujan Olivas
Individual provider Active NPI Behavior Technician · Sylvan Grove, KS
NPI 1174477376 · NPPES record last updated Feb 24, 2026
Key facts
- NPI
- 1174477376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 108 N Ohio Ave
Sylvan Grove, KS 67481-8119 - Phone
- (520) 409-8775
- NPI assigned
- Feb 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician |
106S00000X | Yes |
Addresses
Primary practice location
108 N Ohio Ave
Sylvan Grove, KS 67481-8119
Mailing address
108 N Ohio Ave
Sylvan Grove, KS 67481-8119
Other providers in Sylvan Grove, KS
All providers in Sylvan Grove, KS · Behavior Technician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.