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Organization
BUCK JACK, LLC
Active
Organization
BUCK JACK, LLC
Active
Other names
WOVEN CARE
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER HALL (INTERNAL OPERATIONS MANAGER)
(719) 597-0822
Entity
Organization
Contact information
Practice address
4025 CLUB MANOR DR, PUEBLO, CO 81008-2004
(719) 597-0822
Mailing address
2233 ACADEMY PL STE 200, COLORADO SPRINGS, CO 80909-1666
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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