Buck Jack, LLC DBA the Shandy Clinic
NPI #1891443370 in Pueblo, Colorado
Provider Information
- NPI Number
- 1891443370
- Entity Type
- Organization
- Organization Name
- Buck Jack, LLC DBA the Shandy Clinic
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Mar 14, 2022
- Last Updated
- Feb 28, 2024
Practice Location
Authorized Official
- Name
- TANNER DENN
- Title
- CREDENTIALING SPECIALIST
- Phone
- (719) 428-1840
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Occupational Therapist |
| Psychologist |
| Speech-Language Pathologist |
| Behavior Technician |
| Behavior Analyst |
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