Marlayna Olivares
Individual provider Active NPI Behavior Technician · Deming, NM
NPI 1659955813 · NPPES record last updated May 12, 2021
Key facts
- NPI
- 1659955813
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1811 Dona Ana Rd SE
Deming, NM 88030-7208 - Phone
- (575) 543-5357
- NPI assigned
- May 12, 2021
- 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
1811 Dona Ana Rd SE
Deming, NM 88030-7208
Mailing address
1811 Dona Ana Rd SE
Deming, NM 88030-7208
Other providers in Deming, NM
- Uriel S Nelson
- Vu Nguyen
- Jaylynn Nunn
- Occupational Therapy Services Inc
- Ekaette Ogodo
- Jurido Olukunle
- Mark D Osmer
- Maria Pacheco
- Mariah Armida Pacheco
- Marc Paley
All providers in Deming, NM · Behavior Technician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2021. 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.