Active NPI
Ashley Nichole Fargo
- Behavior Technician
- Leesville, LA
National Provider Identifier
1750162038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- R-26001
- Practice address
- 112 N 3Rd St
Leesville, LA 71446-4014 - Phone
- (337) 239-3334
- Fax
- (337) 239-3336
- NPI assigned
- Oct 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | R-26001 | LA | Primary |
| Behavior Technician | 106S00000X | 23-279065 | TX |
Addresses
Primary practice location
112 N 3Rd St
Leesville, LA 71446-4014
Mailing address
112 N 3Rd St
Leesville, LA 71446-4014
Phone (337) 239-3334
Other names 1
- Ashley Nichole McShane
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 |
|---|---|---|---|
| R-26001 | LA | MD | Behavior Technician |
| 23-279065 | TX | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wardell Interests, Inc | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1750162038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 N 3RD ST",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714464014",
"telephone_number": "337-239-3334",
"fax_number": "337-239-3336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N 3RD ST",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714464014",
"telephone_number": "337-239-3334",
"fax_number": "337-239-3336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARGO",
"first_name": "ASHLEY",
"middle_name": "NICHOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-11",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "LA",
"license": "R-26001",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "23-279065",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "MCSHANE",
"middle_name": "NICHOLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.