Elizabeth Mae Fargerson
Assistant Behavior Analyst
2522 E 70th St
Shreveport
, Louisiana 71105-4002
Elizabeth Mae Fargerson
Assistant Behavior Analyst
2522 E 70th St
Shreveport
, Louisiana 71105-4002
(318) 230-0865
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About
Features
Specialties
- Assistant Behavior Analyst
Languages spoken
- English
Location
First Address
- Elizabeth Mae Fargerson
- 128 Carroll St
- Shreveport, LA
- Zip : 71105-4235
- Phone : (318) 230-0865
Second Address
- Elizabeth Mae Fargerson
- 2522 E 70th St
- Shreveport, LA
- Zip : 71105-4002
- Phone : (318) 795-3388
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | C-064 | LA |
National Provider Identifier
| NPI | 1013524875 |
|---|---|
| Provider Name | Elizabeth Mae Fargerson |
| First Address | Shreveport, LA 71105-4235 |
| Second Address | Shreveport, LA 71105-4002 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2020 |
| Last Update Date | 25/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.