Jerod Duncan

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2016013992 Issued in MO

Practice address

4 NW Noel St
Lees Summit, MO 64063-2238

Phone

(816) 206-7661

NPI assigned

Dec 2, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1942743356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NW NOEL ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632238",
            "telephone_number": "816-206-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NW NOEL ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632238",
            "telephone_number": "816-206-7661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10330 Hickman Mills Dr",
            "address_2": "BLD 2",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641371618",
            "country_code": "US",
            "telephone_number": "816-501-5138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "JEROD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-02",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2016013992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Lynn Duggan, LPC
• Michael Duke, M.D.
• Mitchell J Dulin
• Dava Alyxandra Dull
• Edward Franklin Dullenty, RN BSNMA
• Rian B Dunkin, LPC, MA
• Jamie Durner, NBC-HWC
• Mary Beth Duryea, M.D.
• Ciara Dawn Dutton, OTR/L
• Dynamic Spine & Joint Center

• Behavior Analyst in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.