Buck Jack, LLC
NPI 1104634385ActiveOrganization· Behavior Analyst· Colorado Springs, CO
Behavior Analyst in Colorado Springs, Colorado, registered in NPPES in December 2024. The authorized official on file is Tanner Hall, Credentialing Specialist.
Overview
| NPI | 1104634385 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 20, 2024 |
| Last updated in NPPES | Dec 20, 2024 |
| Certified by provider | Dec 20, 2024 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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