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 1821806027

Buck Jack, LLC is a Behavior Analyst in Pueblo, Colorado. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
8
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

1301 Fortino Blvd
Pueblo, CO 81008-2032
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

Behavior Analyst (primary) Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X
Occupational Therapy Assistant Taxonomy 224Z00000X
Physical Therapist Taxonomy 225100000X
Physical Therapy Assistant Taxonomy 225200000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Assistant Taxonomy 2355S0801X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1821806027
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanner Hall — Credentialing Specialist · (719) 597-0822
Other names Woven Care
NPI enumeratedDecember 20, 2024
Last updated in NPPESDecember 20, 2024
Certification dateDecember 20, 2024
Mailing address2233 Academy Pl Ste 200, Colorado Springs, CO 80909-1666

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