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

Buck Jack LLC

Organization Behavior Analyst · NPI 1356954424

Buck Jack LLC is a Behavior Analyst in Fountain, Colorado. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
5
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

901 N Santa Fe Ave
Fountain, CO 80817-1738
Phone: (719) 822-0550
Fax: (719) 599-4606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Behavior Analyst Taxonomy 103K00000X
Psychologist Taxonomy 103T00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1356954424
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanner Denn — Credentialing Specialist · (719) 428-1840
Other names Woven Care
NPI enumeratedAugust 28, 2020
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024
Mailing address2233 Academy Pl Ste 200, Colorado Springs, CO 80909-1666

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