BUCK JACK, LLC - NPI 1063220259 - Behavior Analyst in Colorado Springs, CO

Q: What is Buck Jack, LLC's NPI number?

The NPI number for Buck Jack, LLC is 1063220259. It was assigned to this organization in the NPPES registry on December 20, 2024. The provider is doing business as Woven Care.

Q: What is Buck Jack, LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Buck Jack, LLC was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Buck Jack, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUCK JACK, LLC (NPI 1063220259), doing business as Woven Care, is a healthcare organization registered as a behavior analyst in Colorado Springs, Colorado and active in the NPI registry since December 2024. The organization lists Tanner Hall, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1063220259

Entity TypeOrganization

Primary Taxonomy103K00000X

Legal Business NameBUCK JACK, LLC

Location Address2233 ACADEMY PL STE 200Colorado Springs, CO 80909-1666

Mailing Address2233 Academy Pl Ste 200Colorado Springs, CO 80909-1666 · (719) 597-0822 · Fax (719) 599-4606

Phone(719) 597-0822

Fax(719) 599-4606

Organization SubpartNo

Authorized OfficialTanner HallCredentialing Specialist · (719) 597-0822

Enumeration DateDecember 20, 2024

NPPES CertifiedDecember 20, 2024

✔ NPI 1063220259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedBehavior TechnicianTaxonomy 106S00000X

Also ListedOccupational Therapy AssistantTaxonomy 224Z00000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedPhysical Therapy AssistantTaxonomy 225200000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpecialist/Technologist · Speech-Language AssistantTaxonomy 2355S0801X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

2233 ACADEMY PL STE 200, Colorado Springs, CO 80909

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Other Names 1

Doing Business AsWoven Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSEY RENEE ELLENBERGER M.S., BCBA

Behavior Analyst