Buck Jack LLC
NPI 1982217097ActiveOrganization· Speech-Language Pathologist· Pueblo, CO
Speech-Language Pathologist in Pueblo, Colorado, registered in NPPES in August 2020. The authorized official on file is Tanner Denn, Credentialing Specialist.
Overview
| NPI | 1982217097 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 28, 2020 |
| Last updated in NPPES | Feb 28, 2024 |
| Certified by provider | Feb 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | — | — |
| Behavior Analyst | 103K00000X | — | — |
| Psychologist | 103T00000X | — | — |
| Physical Therapist | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Other Speech-Language Pathologist providers in Pueblo
- 1841898053
- 1801401153
- 1982219176
- 1619580735
- 1255213831
- 1508748187
- 1871475459
- 1417516360
- 1497362271
- 1962015925
- 1275078867
- 1609473487