Buck Jack, LLC

NPI #1154139350 in Monument, Colorado

Provider Information

NPI Number
1154139350
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
17230 JACKSON CREEK PKWY STE 220
ZIP Code
80132-7304
Phone
(719) 597-0822

Authorized Official

Name
TANNER HALL
Title
CREDENTIALING SPECIALIST
Phone
(719) 597-0822

Specialties & Taxonomy Codes

Specialty
Behavior Technician
Occupational Therapy Assistant
Physical Therapist
Physical Therapy Assistant
Occupational Therapist
Specialist/Technologist - Speech-Language AssistantSpeech-Language Assistant
Speech-Language Pathologist
Behavior Analyst

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