Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Buck Jack, LLC

Organization Behavior Analyst · NPI 1003618729

Buck Jack, LLC is a Behavior Analyst in Fountain, Colorado. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6436 S US Highway 85-87 Ste U
Fountain, CO 80817-1007
Phone: (719) 597-0822
Fax: (719) 599-4606
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1003618729
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanner Hall — Internal Operations Manager · (719) 597-0822
Other names Woven Care
NPI enumeratedMarch 25, 2025
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025
Mailing address2233 Academy Pl Ste 200, Colorado Springs, CO 80909-1666

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