Elizabeth Gagne

Individual provider Active NPI Behavior Technician · Gulfport, MS

NPI 1740134816 · NPPES record last updated Feb 24, 2026

Key facts

NPI
1740134816
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
15489 Dedeaux Rd
Gulfport, MS 39503-2667
Phone
(228) 357-5671
Fax
(228) 357-5708
NPI assigned
Feb 24, 2026
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Education Solutions Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X MS Yes

Addresses

Primary practice location

15489 Dedeaux Rd
Gulfport, MS 39503-2667

Mailing address

15489 Dedeaux Rd
Gulfport, MS 39503-2667
Phone (228) 357-5671

Other providers in Gulfport, MS

All providers in Gulfport, MS · Behavior Technician in Mississippi

Sources for this page

Verify at the official NPI Registry.