Buck Jack, LLC
Behavior Analyst · Aurora, CO
Practice location
3131 S Vaughn Way Ste 110Aurora, CO 80014-3501
- Phone
- (719) 597-0822
- Fax
- (719) 599-4606
NPI record
- NPI
- 1780492967
- Entity type
- Organization (Type 2)
- Enumeration date
- December 20, 2024
- Last updated
- December 20, 2024
- Certified
- December 20, 2024
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
— | — |
| Behavior Technician | 106S00000X |
— | — |
| Occupational Therapy Assistant | 224Z00000X |
— | — |
| Physical Therapist | 225100000X |
— | — |
| Physical Therapy Assistant | 225200000X |
— | — |
| Occupational Therapist | 225X00000X |
— | — |
| Speech-Language Assistant | 2355S0801X |
— | — |
| Speech-Language Pathologist | 235Z00000X |
— | — |
Mailing address
2233 Academy Pl Ste 200Colorado Springs, CO 80909-1666
- Phone
- (719) 597-0822
- Fax
- (719) 599-4606
Authorized official
- Name
- Tanner Hall
- Title
- Credentialing Specialist
- Phone
- (719) 597-0822
Other names
- Woven Care
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 3131 S Vaughn Way Ste 110, Aurora, CO 80014-3501. The NPI number 1780492967 was assigned on December 20, 2024 and the record was last updated on December 20, 2024.
The authorized official for this organization is Tanner Hall, Credentialing Specialist.
Frequently asked questions
What is the NPI number of Buck Jack, LLC?
The NPI number is 1780492967.
What is the phone number of Buck Jack, LLC?
The phone number listed for the practice location is (719) 597-0822.
Where is Buck Jack, LLC located?
3131 S Vaughn Way Ste 110, Aurora, CO 80014-3501.
What is the taxonomy code for Buck Jack, LLC?
The primary taxonomy code is 103K00000X – Behavior Analyst; 7 more listed above.
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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