Buck Jack LLC

Behavior Analyst · Monument, CO

Organization Active NPI

NPI number 1407467707

Practice location

17230 Jackson Creek Pkwy Ste 220
Monument, CO 80132-7304
Phone
(719) 488-3348
Fax
(719) 599-4606

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NPI record

NPI
1407467707
Entity type
Organization (Type 2)
Enumeration date
August 11, 2020
Last updated
August 11, 2020
Certified
August 11, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Mailing address

685 Citadel Dr E Ste 580
Colorado Springs, CO 80909-5381
Phone
(713) 410-6889

Authorized official

Name
William Colt
Title
President
Phone
(713) 410-6889

Other names

  • The Shandy Clinic

About Buck Jack LLC

Buck Jack LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 17230 Jackson Creek Pkwy Ste 220, Monument, CO 80132-7304. The NPI number 1407467707 was assigned on August 11, 2020 and the record was last updated on August 11, 2020.

The authorized official for this organization is William Colt, President.

Frequently asked questions

What is the NPI number of Buck Jack LLC?

The NPI number is 1407467707.

What is the phone number of Buck Jack LLC?

The phone number listed for the practice location is (719) 488-3348.

Where is Buck Jack LLC located?

17230 Jackson Creek Pkwy Ste 220, Monument, CO 80132-7304.

What is the taxonomy code for Buck Jack LLC?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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