Buck Jack, Llc | |
3131 S Vaughn Way Ste 110 Aurora CO 80014-3501 | |
(719) 597-0822 | |
(719) 599-4606 |
Full Name | Buck Jack, Llc |
---|---|
Speciality | Behavior Analyst |
Location | 3131 S Vaughn Way Ste 110, Aurora, Colorado |
Authorized Official Name and Position | Tanner Hall (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 7195970822 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Buck Jack, Llc 2233 Academy Pl Ste 200 Colorado Springs CO 80909-1666 Ph: (719) 597-0822 | Buck Jack, Llc 3131 S Vaughn Way Ste 110 Aurora CO 80014-3501 Ph: (719) 597-0822 |
NPI Number | 1780492967 |
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Provider Enumeration Date | 12/20/2024 |
Last Update Date | 12/20/2024 |
Certification Date | 12/20/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780492967 | NPI | - | NPPES |
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