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 1538837794

Buck Jack, LLC is a Behavior Analyst in Colorado Springs, Colorado. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
6
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

685 Citadel Dr E Ste 580
Colorado Springs, CO 80909-5381
Phone: (719) 597-0822
Fax: (719) 599-4606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X
Behavior Analyst Taxonomy 103K00000X
Psychologist Taxonomy 103T00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1538837794
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanner Denn — Credentialing Manager · (719) 428-1840
Other names The Shandy Clinic
NPI enumeratedSeptember 2, 2021
Last updated in NPPESSeptember 2, 2021
Certification dateAugust 17, 2021
Mailing address685 Citadel Dr E Ste 580, Colorado Springs, CO 80909-5381

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