WOVEN CARE
NPI 1891443370
Behavior Analyst in Pueblo, CO

Q: What is Buck Jack, LLC Dba The Shandy Clinic's NPI number?

The NPI number for Buck Jack, LLC Dba The Shandy Clinic is 1891443370. It was assigned to this organization in the NPPES registry on March 14, 2022. The provider is doing business as Woven Care.

Q: What is Buck Jack, LLC Dba The Shandy Clinic's specialty?

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

Active since March 14, 2022

1325 S PRAIRIE AVE, PUEBLO, CO 81005(719) 597-0822 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Woven Care NPPES

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

WOVEN CARE (NPI 1891443370) is a healthcare organization registered as a behavior analyst in Pueblo, Colorado and active in the NPI registry since March 2022. The organization lists Tanner Denn, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1891443370

Entity TypeOrganization

Primary Taxonomy103K00000X

Legal Business NameBUCK JACK, LLC DBA THE SHANDY CLINIC

Location Address1325 S PRAIRIE AVEPueblo, CO 81005-2326

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

Phone(719) 597-0822

Organization SubpartNo

Authorized OfficialTanner DennCredentialing Specialist · (719) 428-1840

Enumeration DateMarch 14, 2022

Last NPPES UpdateFebruary 28, 2024

NPPES CertifiedFebruary 28, 2024

✔ NPI 1891443370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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 ListedPsychologistTaxonomy 103T00000X

Also ListedBehavior TechnicianTaxonomy 106S00000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

1325 S PRAIRIE AVE, Pueblo, CO 81005

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Other Names 1

Doing Business AsWoven Care

Other Identifiers 1

Medicaid9000203726CO

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 4

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

BUCK JACK, LLC

Behavior Analyst

1325 S PRAIRIE AVE
PUEBLO, CO 81005

Pueblo County (719) 597-0822

DEVON WATKINS

Behavior Technician

1325 S PRAIRIE AVE
PUEBLO, CO 81005

Pueblo County (719) 569-4411

SHANNON ESPALIN

Behavior Technician

1325 S PRAIRIE AVE
PUEBLO, CO 81005

Pueblo County (719) 597-0822

JESIKA CASIAS

Behavior Technician

1325 S PRAIRIE AVE
PUEBLO, CO 81005

Pueblo County (719) 569-4411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Buck Jack, LLC Dba The Shandy Clinic's NPI number?

The NPI number for Buck Jack, LLC Dba The Shandy Clinic is 1891443370. It was assigned to this organization in the NPPES registry on March 14, 2022. The provider is doing business as Woven Care.

Where is Buck Jack, LLC Dba The Shandy Clinic located?

Buck Jack, LLC Dba The Shandy Clinic is located at 1325 S Prairie Ave, Pueblo, CO 81005. The listed phone number is (719) 597-0822.

What is Buck Jack, LLC Dba The Shandy Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Buck Jack, LLC Dba The Shandy Clinic was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.