Provider Demographics
NPI:1811537723
Name:DUNCANSON, WHITNI COX (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:WHITNI
Middle Name:COX
Last Name:DUNCANSON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 RESERVE OVERLOOK
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30115-1898
Mailing Address - Country:US
Mailing Address - Phone:678-510-6502
Mailing Address - Fax:
Practice Address - Street 1:4492 ACWORTH INDUSTRIAL DR NW
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-5659
Practice Address - Country:US
Practice Address - Phone:770-974-2945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-08
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1-19-37894103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst