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 1376425959

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

In the registry since
2025
Specialties on file
7
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) 597-0822
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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
Behavior Technician Taxonomy 106S00000X
Occupational Therapy Assistant Taxonomy 224Z00000X
Physical Therapist Taxonomy 225100000X
Physical Therapy Assistant Taxonomy 225200000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1376425959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanner Hall — Internal Operations Manager · (719) 597-0822
Other names Woven Care
NPI enumeratedJuly 23, 2025
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025
Mailing address2233 Academy Pl Ste 200, Colorado Springs, CO 80909-1666

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