Buck Jack, Llc

LBN: Buck Jack, Llc
Buck Jack, Llc is an health care organization with primary practice located at 304 E Routt Ave , Pueblo CO 81004-2122. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Buck Jack, Llc can be contacted via phone (719) 597-0822, or through Hall, Tanner via phone (719) 597-0822.

Contact Information

Primary practice address
304 E Routt Ave Pueblo CO 81004-2122
Phone: (719) 597-0822
Fax: (719) 599-4606
Website:
Map and Directions
Authorized official contact:
Name: Hall, Tanner
Phone: (719) 597-0822

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1205624111
LBN Legal business name Buck Jack, Llc
DBA Doing business as
Authorized official Hall, Tanner
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2025
Last updated Apr 29th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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