Organization · Type 2 NPI

Buck Jack, LLC

Behavior Analyst · Fountain, CO

NPI number 1942018130 Active

Practice location

901 N Santa Fe Ave
Fountain, CO 80817-1738

Call (719) 597-0822 Map

Fax (719) 599-4606

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	None listed
Behavior Technician	106S00000X	None listed
Occupational Therapy Assistant	224Z00000X	None listed
Physical Therapist	225100000X	None listed
Physical Therapy Assistant	225200000X	None listed
Occupational Therapist	225X00000X	None listed
Speech-Language Assistant	2355S0801X	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 1942018130

Buck Jack, LLC's National Provider Identifier is 1942018130, issued on Dec 20, 2024. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Fountain, CO. The record was last updated on Dec 20, 2024.