Provider Demographics
NPI:1972488955
Name:DUNCAN, CARLEY MICHELLE
Entity type:Individual
Prefix:
First Name:CARLEY
Middle Name:MICHELLE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3711 WINCHESTER WAY
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-3399
Mailing Address - Country:US
Mailing Address - Phone:706-829-5976
Mailing Address - Fax:
Practice Address - Street 1:2550 TRADE CENTER DR
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-6167
Practice Address - Country:US
Practice Address - Phone:706-723-8458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst