Organization · Type 2 NPI

Buck Jack, LLC

Speech-Language Pathologist · Fountain, CO

NPI number 1275415853 Active

Practice location

6436 S US Highway 85-87 Ste U
Fountain, CO 80817-1007

Mailing address

2233 Academy Pl Ste 200
Colorado Springs, CO 80909-1666

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Behavior Technician 106S00000XNone listed
Occupational Therapy Assistant 224Z00000XNone listed
Physical Therapist 225100000XNone listed
Physical Therapy Assistant 225200000XNone listed
Occupational Therapist 225X00000XNone listed
Speech-Language Pathologist Primary 235Z00000XNone listed

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1275415853

Buck Jack, LLC's National Provider Identifier is 1275415853, issued on Jul 23, 2025. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Fountain, CO. The record was last updated on Jul 23, 2025.