Provider Demographics
NPI:1326538869
Name:DUNCIL, PAUL JR (MA, MS ED)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:
Last Name:DUNCIL
Suffix:JR
Gender:M
Credentials:MA, MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6088 HAZELWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59106-9547
Mailing Address - Country:US
Mailing Address - Phone:406-672-2748
Mailing Address - Fax:
Practice Address - Street 1:6088 HAZELWOOD DR
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59106-9547
Practice Address - Country:US
Practice Address - Phone:406-672-2748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-10
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPSY-BA-LIC-2494103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst