Provider Demographics
NPI:1952123341
Name:CRAIG, FLORA KING
Entity type:Individual
Prefix:
First Name:FLORA
Middle Name:KING
Last Name:CRAIG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FLORA
Other - Middle Name:LEE
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRAIG
Mailing Address - Street 1:5725 MARCHESTER CIRCLE
Mailing Address - Street 2:
Mailing Address - City:PINSON
Mailing Address - State:AL
Mailing Address - Zip Code:35126
Mailing Address - Country:US
Mailing Address - Phone:205-240-1927
Mailing Address - Fax:
Practice Address - Street 1:5725 MARCHESTER CIRCLE
Practice Address - Street 2:
Practice Address - City:PINSON
Practice Address - State:AL
Practice Address - Zip Code:35126
Practice Address - Country:US
Practice Address - Phone:205-240-1927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician