Active NPI
Joseph Duncan, BCBA, LBA
- Behavior Analyst
- Concord, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-44090
- Practice address
- 1200 Concord Ave Ste 100
Concord, CA 94520-4969 - Phone
- (510) 268-8120
- NPI assigned
- Sep 2, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-44090 | IN | Primary |
Addresses
Primary practice location
1200 Concord Ave Ste 100
Concord, CA 94520-4969
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
1558 E Boulevard Ste A
Kokomo, IN 46902-2479
Phone (855) 324-0885
Other practice location 2
3781 Bayley Dr Ste B
Lafayette, IN 47905-8657
Phone (855) 324-0885
Other practice location 3
2513 W 2nd St
Marion, IN 46952-3241
Phone (855) 324-0885
Other practice location 4
19031 33rd Ave W Ste 101
Lynnwood, WA 98036-4722
Phone (630) 881-8535
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BA61183810 | Other | WA | LBA CERTIFICATION |
| RBT-17-40877 | Other | IN | RBT CERTIFICATION |
| 1-20-44090 | Other | IN | BACB CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sound Behavior Therapy Corp | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Olympia, WA
- NPI 1306184593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1194339606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CONCORD AVE STE 100",
"city": "CONCORD",
"state": "CA",
"postal_code": "945204969",
"telephone_number": "510-268-8120"
}
],
"practiceLocations": [
{
"address_1": "1558 E Boulevard Ste A",
"address_purpose": "LOCATION",
"city": "Kokomo",
"state": "IN",
"postal_code": "469022479",
"country_code": "US",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3781 Bayley Dr Ste B",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479058657",
"country_code": "US",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2513 W 2nd St",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "IN",
"postal_code": "469523241",
"country_code": "US",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19031 33rd Ave W Ste 101",
"address_purpose": "LOCATION",
"city": "Lynnwood",
"state": "WA",
"postal_code": "980364722",
"country_code": "US",
"telephone_number": "630-881-8535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNCAN",
"first_name": "JOSEPH",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-02",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-20-44090",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LBA CERTIFICATION",
"identifier": "BA61183810",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT CERTIFICATION",
"identifier": "RBT-17-40877",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB CERTIFICATION",
"identifier": "1-20-44090",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.