Active NPI
Buck Jack, LLC
Doing business as Woven Care
- Behavior Analyst
- Fountain, CO
National Provider Identifier
1003618729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BUCK JACK, LLC
- Doing business as
- Woven Care
- Practice address
- 6436 S US Highway 85-87 Ste U
Fountain, CO 80817-1007 - Phone
- (719) 597-0822
- Fax
- (719) 599-4606
- NPI assigned
- Mar 25, 2025
- Last updated
- Mar 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tanner Hall
- Title
- Internal Operations Manager
- Phone
- (719) 597-0822
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary | |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary 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
Phone (719) 597-0822
Other names 1
- Woven Care
National Provider Directory
National Provider Directory- Tax ID family
- Buck Jack LLC
Organizations with this tax ID in the same state 12
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Occupational Therapist
- Denver, CO
- NPI 1124872809
Locations
6436 S US Highway 85-87
Ste U
Fountain, CO 80817
Phone (719) 822-0460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1003618729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 ACADEMY PL STE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091666",
"telephone_number": "719-597-0822",
"fax_number": "719-599-4606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6436 S US HIGHWAY 85-87 STE U",
"city": "FOUNTAIN",
"state": "CO",
"postal_code": "808171007",
"telephone_number": "719-597-0822",
"fax_number": "719-599-4606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUCK JACK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-25",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "TANNER",
"authorized_official_title_or_position": "INTERNAL OPERATIONS MANAGER",
"authorized_official_telephone_number": "719-597-0822"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Woven Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fountain, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.