Buck Jack, LLC
NPI #1104634385 in Colorado Springs, Colorado
Provider Information
- NPI Number
- 1104634385
- Entity Type
- Organization
- Organization Name
- Buck Jack, LLC
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Dec 20, 2024
- Last Updated
- Dec 20, 2024
Practice Location
- Address
- 6190 BARNES RD
- City
- Colorado Springs
- State
- Colorado
- ZIP Code
- 80922-2600
- Phone
- (719) 597-0822
Authorized Official
- Name
- TANNER HALL
- Title
- CREDENTIALING SPECIALIST
- Phone
- (719) 597-0822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Physical Therapy Assistant |
| Occupational Therapist |
| Specialist/Technologist - Speech-Language Assistant — Speech-Language Assistant |
| Speech-Language Pathologist |
| Behavior Technician |
| Occupational Therapy Assistant |
| Behavior Analyst |
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