Active NPI
Buck Jack Utah, LLC
- Behavior Analyst
- Colorado Springs, CO
National Provider Identifier
1295686699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BUCK JACK UTAH, LLC
- Practice address
- 2233 Academy PL Ste 201
Colorado Springs, CO 80909-1679 - Phone
- (719) 597-0822
- Fax
- (719) 599-4606
- NPI assigned
- Feb 3, 2026
- Last updated
- Feb 3, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
2233 Academy PL Ste 201
Colorado Springs, CO 80909-1679
Mailing address
2233 Academy PL Ste 201
Colorado Springs, CO 80909-1679
Phone (719) 597-0822
National Provider Directory
National Provider Directory- Tax ID family
- Buck Jack Utah LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Salt Lake City, UT
- NPI 1952252231
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Behavior Technician
- Colorado Springs, CO
- NPI 1336866565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770076800000",
"number": "1295686699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 ACADEMY PL STE 201",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091679",
"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": "2233 ACADEMY PL STE 201",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091679",
"telephone_number": "719-597-0822",
"fax_number": "719-599-4606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUCK JACK UTAH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-03",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"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": null,
"license": null,
"primary": true
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.