Provider Demographics
NPI:1134567233
Name:LOUCRAFT, FELECIA
Entity type:Individual
Prefix:
First Name:FELECIA
Middle Name:
Last Name:LOUCRAFT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FELECIA
Other - Middle Name:
Other - Last Name:FAUVEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:288 LITTLETON RD STE 20
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3527
Mailing Address - Country:US
Mailing Address - Phone:978-201-2764
Mailing Address - Fax:978-300-8565
Practice Address - Street 1:288 LITTLETON RD STE 20
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3527
Practice Address - Country:US
Practice Address - Phone:978-201-2764
Practice Address - Fax:978-300-8565
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1706103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst