Active NPI
Elizabeth Mae Fargerson, BCABA
- Behavior Analyst
- Shreveport, LA
National Provider Identifier
1013524875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- L-694
- Practice address
- 9441 Stevens Rd Ste 150
Shreveport, LA 71106-7574 - Phone
- (318) 947-9000
- Fax
- (318) 692-3904
- NPI assigned
- Sep 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | L-694 | LA | Primary |
Addresses
Primary practice location
9441 Stevens Rd Ste 150
Shreveport, LA 71106-7574
Mailing address
128 Carroll St
Shreveport, LA 71105-4235
Phone (318) 230-0865
Other practice location 1
2522 E 70th St
Shreveport, LA 71105-4002
Phone (318) 795-3388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-694 | LA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Solutions Counseling Center | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1013524875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 CARROLL ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711054235",
"telephone_number": "318-230-0865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9441 STEVENS RD STE 150",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711067574",
"telephone_number": "318-947-9000",
"fax_number": "318-692-3904"
}
],
"practiceLocations": [
{
"address_1": "2522 E 70th St",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711054002",
"country_code": "US",
"telephone_number": "318-795-3388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARGERSON",
"first_name": "ELIZABETH",
"middle_name": "MAE",
"credential": "BCABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-25",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "LA",
"license": "L-694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.