IndividualActive
Ashley Fargo
NPI 1750162038 · Behavior Technician · Leesville, LA
Provider details
- NPI number
- 1750162038
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- R-26001 (LA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
112 N 3rd St
Leesville, LA 71446-4014
Phone: (337) 239-3334
Fax: (337) 239-3336
Approximate (ZIP-level) locationGet directions
Mailing address
112 N 3rd St
Leesville, LA 71446-4014
Registry dates
- Enumerated
- 2023-10-11
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.