ELIZABETH MAE FARGERSON (NPI# 1013524875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013524875 |
| Entity Type | Individual |
| Full Name | ELIZABETH MAE FARGERSON |
| Credential | BCABA |
| Practice Address |
2522 E 70th St Shreveport LA 71105-4002 |
| Mailing Address |
128 Carroll St Shreveport LA 71105-4235 |
| Practice Telephone | 3187953388 |
| Mailing Telephone | 3182300865 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | C-064 | LA | Behavioral Health & Social Service Providers |
| Street Address |
2522 E 70TH ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-4002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891015855 | Lacey J Mcbride | Speech-Language Pathologist | 2522 E 70th St, Shreveport, LA 71105-4002 | 2010-06-01 |
| 1033727565 | Olivia Felsher-smith | Behavior Technician | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-07-21 |
| 1760090245 | Doughty Mccall Cowart | Behavior Technician | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-07-21 |
| 1639787153 | Kristyn Alyse Peacock | Behavior Technician | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-07-21 |
| 1003430471 | Ashley King | Behavioral Analyst | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-06-02 |
| 1922635416 | Erika Loren Tejada | Speech-Language Pathologist | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-03-24 |
| 1760018477 | Mary Katherine Walker | Speech-Language Pathologist | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-03-14 |
| 1801434428 | Savanna Taelor Witthoeft | Behavior Technician | 2522 E 70th St, Shreveport, LA 71105-4002 | 2019-12-13 |
| 1164068615 | Megan Theriot | Behavior Technician | 2522 E 70th St, Shreveport, LA 71105-4002 | 2019-11-20 |
| 1114562253 | Amber S Wynn | Behavior Technician | 2522 E 70th St, Shreveport, LA 71105-4002 | 2019-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104353606 | Elizabeth Lee Murray | Assistant Behavior Analyst | 7607 Fern Ave Ste 403, Shreveport, LA 71105-5699 | 2017-05-15 |
| 1508318965 | Stacy Robinson | Assistant Behavior Analyst | 620 Kings Towne Pl, Shreveport, LA 71108-6012 | 2016-11-01 |
| 1720538440 | Ivery Datcher | Assistant Behavior Analyst | 1137 Graystone Dr, Shreveport, LA 71107-5532 | 2016-10-05 |
| 1841739109 | Robert Earl Hudson Jr. | Assistant Behavior Analyst | 2715 Mackey Pl Ste 135, Shreveport, LA 71118-2528 | 2017-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759543 | Heather L Naquin | Assistant Behavior Analyst | 968 Aragon Rd, Montegut, LA 70377-3322 | 2020-01-13 |
| 1295374593 | Skye Ringuet | Assistant Behavior Analyst | 611 North State St., Jennings, LA 70546 | 2020-01-03 |
| 1851935613 | Full Spectrum Aba of Louisiana | Assistant Behavior Analyst | 201 Rue Beauregard Ste 202, Lafayette, LA 70508-3251 | 2019-11-04 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1972091577 | Sabrina Flettrich | Assistant Behavior Analyst | 3504 Taft Park, Metairie, LA 70002-4558 | 2018-04-29 |
| 1700383478 | Louis Jackson | Assistant Behavior Analyst | 6104 Manor Dr, Alexandria, LA 71302-2529 | 2018-04-10 |
| 1801330014 | Victoria Cade | Assistant Behavior Analyst | 3033 Marietta St, Kenner, LA 70065-4430 | 2016-12-06 |
| 1235688565 | Alice Dales | Assistant Behavior Analyst | 828 Highway 457, Lecompte, LA 71346-8782 | 2016-09-28 |
| 1215538970 | Caroline Bridges | Assistant Behavior Analyst | 4440 Viking Dr, Bossier City, LA 71111-7511 | 2020-11-07 |
| 1942800172 | Madison Vlahakis Boydstun | Assistant Behavior Analyst | 4440 Viking Dr Ste 400, Bossier City, LA 71111-7511 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.