Buck Jack, LLC
NPI 1205624111ActiveOrganization· Behavior Analyst· Pueblo, CO
Behavior Analyst in Pueblo, Colorado, registered in NPPES in April 2025. The authorized official on file is Tanner Hall, Internal Operations Manager.
Overview
| NPI | 1205624111 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 29, 2025 |
| Last updated in NPPES | Apr 29, 2025 |
| Certified by provider | Apr 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | — | — |
| Assistant Behavior Analyst | 106E00000X | — | — |
| Behavior Technician | 106S00000X | — | — |
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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