BUCK JACK, LLC
NPI 1821806027
Behavior Analyst in Pueblo, CO
- Organization
- Behavior Analyst
About BUCK JACK, LLC
This page provides the complete NPI Profile along with additional information for Buck Jack, Llc, a provider established in Pueblo, Colorado operating as a Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1821806027 assigned on December 2024. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Buck Jack, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Tanner Hall (Credentialing Specialist)
- NPI
- 1821806027 Verify this NPI
- Provider Name
- BUCK JACK, LLC
- Entity Type
- Organization
- Location Address
- 1301 FORTINO BLVD PUEBLO, CO 81008
- Location Phone
- (719) 597-0822
- Location Fax
- (719) 599-4606
- Mailing Address
- 2233 ACADEMY PL STE 200 COLORADO SPRINGS, CO 80909
- Mailing Phone
- (719) 597-0822
- Mailing Fax
- (719) 599-4606
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-20-2024
- Last Update Date
- 12-20-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Behavior Analyst
- Taxonomy Code
- 103K00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 106S00000X | Behavioral Health & Social Service Providers | Behavior Technician | |
| 2 | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | |
| 3 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 4 | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | |
| 5 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 6 | 2355S0801X | Speech, Language and Hearing Service Providers | Specialist/Technologist | |
| 7 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PUEBLO, CO 81008
PUEBLO, CO 81008
PUEBLO, CO 81008
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821806027, enumerated as an "organization" on December 20, 2024.
The provider is located at 1301 FORTINO BLVD PUEBLO, CO 81008 and the phone number is (719) 597-0822.
Behavior Analyst with taxonomy code 103K00000X.
