Buck Jack LLC
NPI #1255964078 in Colorado Springs, Colorado
Provider Information
- NPI Number
- 1255964078
- Entity Type
- Organization
- Organization Name
- Buck Jack LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Feb 20, 2020
- Last Updated
- Feb 28, 2024
Practice Location
- Address
- 3625 CITADEL DR S
- City
- Colorado Springs
- State
- Colorado
- ZIP Code
- 80909-5320
- Phone
- (719) 597-0822
Authorized Official
- Name
- TANNER SLOAN DENN
- Title
- CREDENTIALING SPECIALIST
- Phone
- (719) 428-1840
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Behavior Analyst |
| Psychologist |
| Behavior Technician |
| Physical Therapist |
| Speech-Language Pathologist |
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