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

Buck Jack, LLC Dba the Shandy Clinic

Organization Behavior Analyst · NPI 1891443370

Buck Jack, LLC Dba the Shandy Clinic is a Behavior Analyst in Pueblo, Colorado. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1325 S Prairie Ave
Pueblo, CO 81005-2326
Phone: (719) 597-0822
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Psychologist Taxonomy 103T00000X
Behavior Technician Taxonomy 106S00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1891443370
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanner Denn — Credentialing Specialist · (719) 428-1840
Other names Woven Care
NPI enumeratedMarch 14, 2022
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024
Mailing address2233 Academy Pl Ste 200, Colorado Springs, CO 80909-1666

Other providers in Pueblo