Provider Demographics
NPI:1295620243
Name:DUNCAN, SHANICE (BT)
Entity type:Individual
Prefix:MS
First Name:SHANICE
Middle Name:
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:BT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 E 79TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3511
Mailing Address - Country:US
Mailing Address - Phone:917-507-4505
Mailing Address - Fax:
Practice Address - Street 1:717 E 79TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3511
Practice Address - Country:US
Practice Address - Phone:917-507-4505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No251C00000XAgenciesDay Training, Developmentally Disabled Services