Buck Jack, LLC
NPI 1104634385 · Behavior Analyst · Colorado Springs, CO
Buck Jack, LLC is a Behavior Analyst organization in Colorado Springs, CO (NPI 1104634385).
Provider details
- NPI number
- 1104634385
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tanner Hall, Credentialing Specialist(719) 597-0822
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Assistant225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Assistant2355S0801X
Speech, Language and Hearing Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Woven Care
Registry dates
- Enumerated
- 2024-12-20
- Last updated
- 2024-12-20
- Certified
- 2024-12-20
Frequently asked questions
- What is Buck Jack, LLC's NPI number?
- Buck Jack, LLC's National Provider Identifier (NPI) is 1104634385, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Buck Jack, LLC?
- Buck Jack, LLC is classified in the NPPES registry as Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Buck Jack, LLC located?
- Buck Jack, LLC's practice location on file with NPPES is 6190 Barnes Rd, Colorado Springs, CO 80922-2600.
- What is Buck Jack, LLC's phone number?
- The practice phone number listed in the NPPES registry for Buck Jack, LLC is (719) 597-0822.
- Who is the authorized official for Buck Jack, LLC?
- The authorized official listed on Buck Jack, LLC's NPPES record is Tanner Hall, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Buck Jack, LLC's NPI active?
- Yes — Buck Jack, LLC's NPI (1104634385) is active in the NPPES registry as of the last update on 2024-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.