BUCK JACK, LLC
NPI 1154139350
Behavior Analyst in Monument, CO
NPI Status: Active since December 20, 2024
Contact Information
17230 JACKSON CREEK PKWY STE 220
MONUMENT, CO
ZIP 80132
Phone: (719) 597-0822
Fax: (719) 599-4606
- 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 Monument, Colorado operating as a Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1154139350 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 one year ago. Buck Jack, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Tanner Hall (Credentialing Specialist)
- NPI
- 1154139350
- Provider Name
- BUCK JACK, LLC
- Entity Type
- Organization
- Location Address
- 17230 JACKSON CREEK PKWY STE 220 MONUMENT, CO 80132
- 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.
Reviews for BUCK JACK, LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 5 | 4 | 1 | 3 | 9 | 3 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 2 | 3 | 18 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 2 + 3 + 1 + 8 + 3 + 1 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1154139350 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922665363 | STEPHANIE M GODDARD Individual | Behavior Technician | 17230 JACKSON CREEK PKWY STE 220 MONUMENT, CO 80132 (719) 597-0822 |
| 1669033247 | HANNAH K PFEIFER OTR/L Individual | Occupational Therapist (Pediatrics) | 17230 JACKSON CREEK PKWY STE 220 MONUMENT, CO 80132 (719) 488-3348 |
| 1750921524 | MICHAEL RYAN Individual | Behavior Technician | 17230 JACKSON CREEK PKWY STE 220 MONUMENT, CO 80132 (719) 488-3348 |
| 1326677378 | KEVIN NICKELL Individual | Behavior Technician | 17230 JACKSON CREEK PKWY STE 220 MONUMENT, CO 80132 (719) 488-3348 |
| 1629699186 | ZOE ELIZABETH SADDISON Individual | Behavior Technician | 17230 JACKSON CREEK PKWY STE 220 MONUMENT, CO 80132 (719) 488-3348 |
| 1407467707 | BUCK JACK LLC Organization | Behavior Analyst | 17230 JACKSON CREEK PKWY STE 220 MONUMENT, CO 80132 (719) 488-3348 |
| 1366057697 | AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC Organization | Behavior Analyst | 17230 JACKSON CREEK PKWY STE 220 MONUMENT, CO 80132 (719) 597-0822 |
| 1922613264 | AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC Organization | Speech-Language Pathologist | 17230 JACKSON CREEK PKWY STE 220 MONUMENT, CO 80132 (719) 597-0822 |
| 1891392460 | AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC Organization | Occupational Therapist | 17230 JACKSON CREEK PKWY STE 220 MONUMENT, CO 80132 (719) 597-0822 |
| 1174121487 | BUCK JACK LLC Organization | Occupational Therapist | 17230 JACKSON CREEK PKWY STE 220 MONUMENT, CO 80132 (719) 597-0822 |
| 1144826140 | RACHEL PUGACH Individual | Behavior Technician | 17230 JACKSON CREEK PKWY STE 220 MONUMENT, CO 80132 (719) 597-0822 |
| 1043895535 | MICHELLE LOUISE RICKEL Individual | Behavior Technician | 17230 JACKSON CREEK PKWY STE 220 MONUMENT, CO 80132 (719) 597-0822 |
| 1336700590 | MELISSA ZEIDMAN Individual | Behavior Analyst | 17230 JACKSON CREEK PKWY STE 220 MONUMENT, CO 80132 (719) 488-3348 |
| 1760051189 | MACKENZIE MCGILL Individual | Behavior Technician | 17230 JACKSON CREEK PKWY STE 220 MONUMENT, CO 80132 (719) 597-0822 |
| 1538739065 | REBEKAH KENNEDY KINSEY Individual | Behavior Technician | 17230 JACKSON CREEK PKWY STE 220 MONUMENT, CO 80132 (719) 488-3348 |
| 1417623935 | BREANNA CRAMER Individual | Behavior Technician | 17230 JACKSON CREEK PKWY STE 220 MONUMENT, CO 80132 (719) 597-0822 |
| 1205588217 | DESREE IVY TAYLOR Individual | Behavior Technician | 17230 JACKSON CREEK PKWY STE 220 MONUMENT, CO 80132 (719) 488-3348 |
| 1770237851 | JOSHUE FLORES Individual | Behavior Technician | 17230 JACKSON CREEK PKWY STE 220 MONUMENT, CO 80132 (719) 597-0822 |
| 1245974005 | LINDSEY RAGSDALE Individual | Behavior Technician | 17230 JACKSON CREEK PKWY STE 220 MONUMENT, CO 80132 (719) 597-0822 |
| 1669107876 | LORI ANNE SIMPSON Individual | Behavior Technician | 17230 JACKSON CREEK PKWY STE 220 MONUMENT, CO 80132 (719) 488-3348 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154139350, enumerated in the NPI registry as an "organization" on December 20, 2024
The provider is located at 17230 Jackson Creek Pkwy Ste 220 Monument, Co 80132 and the phone number is (719) 597-0822
This medical organization specializes in Behavior Analyst with taxonomy code 103K00000X
This NPI record was last updated on December 20, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.