Organization · Type 2 NPI

Buck Jack, LLC dba the Shandy Clinic

Behavior Analyst · Pueblo, CO

NPI number 1891443370 Active

Practice location

1325 S Prairie Ave
Pueblo, CO 81005-2326

Call (719) 597-0822 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	None listed
Psychologist	103T00000X	None listed
Behavior Technician	106S00000X	None listed
Physical Therapist	225100000X	None listed
Occupational Therapist	225X00000X	None listed
Speech-Language Pathologist	235Z00000X	None listed

Behavior Analyst: 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…

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About NPI 1891443370

Buck Jack, LLC dba the Shandy Clinic's National Provider Identifier is 1891443370, issued on Mar 14, 2022. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Pueblo, CO. The record was last updated on Feb 28, 2024.