Provider Demographics
NPI:1275344517
Name:CRAIG, ALLAN B
Entity type:Individual
Prefix:MR
First Name:ALLAN
Middle Name:B
Last Name:CRAIG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7337 NOVA SCOTIA DR
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-5736
Mailing Address - Country:US
Mailing Address - Phone:727-331-9980
Mailing Address - Fax:
Practice Address - Street 1:7337 NOVA SCOTIA DR
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-5736
Practice Address - Country:US
Practice Address - Phone:727-331-9980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician