BUCK JACK, LLC
NPI 1275341471
Behavior Analyst in Pueblo, CO

NPI Status: Active since December 20, 2024

Contact Information

1325 S PRAIRIE AVE
PUEBLO, CO
ZIP 81005
Phone: (719) 597-0822
Fax: (719) 599-4606

Get Directions Reviews

  • 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 1275341471 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
1275341471
Provider Name
BUCK JACK, LLC
Entity Type
Organization
Location Address
1325 S PRAIRIE AVE PUEBLO, CO 81005
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)
1106S00000XBehavioral Health & Social Service Providers

Behavior Technician

 
2224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapy Assistant

 
3225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
4225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapy Assistant

 
5225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 
62355S0801XSpeech, Language and Hearing Service Providers

Specialist/Technologist
Speech-Language Assistant

 
7235Z00000XSpeech, 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TANNER HALL

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(719) 597-0822

Reviews for BUCK JACK, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1275341471
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22145642414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 6 + 4 + 2 + 4 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1275341471 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912683277 SHANNON ESPALIN
Individual
Behavior Technician1325 S PRAIRIE AVE
PUEBLO, CO 81005
(719) 597-0822
1912686460 JESIKA CASIAS
Individual
Behavior Technician1325 S PRAIRIE AVE
PUEBLO, CO 81005
(719) 569-4411
1891443370BUCK JACK, LLC DBA THE SHANDY CLINIC
Organization
Behavior Analyst1325 S PRAIRIE AVE
PUEBLO, CO 81005
(719) 597-0822
1790543585 DEVON WATKINS
Individual
Behavior Technician1325 S PRAIRIE AVE
PUEBLO, CO 81005
(719) 569-4411

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275341471, enumerated in the NPI registry as an "organization" on December 20, 2024

The provider is located at 1325 S Prairie Ave Pueblo, Co 81005 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.