Provider Demographics
NPI:1831987098
Name:DUNCAN, GRANT PHILIP (MA, BCBA)
Entity type:Individual
Prefix:
First Name:GRANT
Middle Name:PHILIP
Last Name:DUNCAN
Suffix:
Gender:
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2533 CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94804-1429
Mailing Address - Country:US
Mailing Address - Phone:707-483-0589
Mailing Address - Fax:
Practice Address - Street 1:2533 CLINTON AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94804-1429
Practice Address - Country:US
Practice Address - Phone:707-483-0589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-22-61514103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst