THE SHANDY CLINIC
NPI 1619587409
Behavior Analyst in Colorado Springs, CO

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

The NPI number for Buck Jack LLC is 1619587409. It was assigned to this organization in the NPPES registry on August 6, 2020. The provider is doing business as The Shandy Clinic.

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 August 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since August 06, 2020

6190 BARNES RD, COLORADO SPRINGS, CO 80922(719) 247-1511 Get Directions Write a Review

NPPES record last updated: August 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2020, Aug 6, 2020 (2 updates tracked since 2020).

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About The Shandy Clinic NPPES

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

THE SHANDY CLINIC (NPI 1619587409) is a healthcare organization registered as a behavior analyst in Colorado Springs, Colorado and active in the NPI registry since August 2020. The organization lists William Colt, President, as its authorized official.

NPPES Registry Identity

NPI1619587409

Entity TypeOrganization

Primary Taxonomy103K00000X

Legal Business NameBUCK JACK LLC

Location Address6190 BARNES RDColorado Springs, CO 80922-2600

Mailing Address685 Citadel Dr E Ste 580Colorado Springs, CO 80909-5381 · (713) 725-9181

Phone(719) 247-1511

Organization SubpartNo

Authorized OfficialWilliam ColtPresident · (713) 410-6889

Enumeration DateAugust 6, 2020

Last NPPES UpdateAugust 16, 20202 updates tracked since enumeration

NPPES CertifiedAugust 16, 2020

✔ NPI 1619587409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

6190 BARNES RD, Colorado Springs, CO 80922

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Other Names 1

Doing Business AsThe Shandy Clinic

Other Identifiers 1

Medicaid9000181601CO

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.

K PATRICK MCCAFFERY

Specialist