Behavior Analyst
BUCK JACK, LLC DBA THE SHANDY CLINIC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1891443370 · enumerated 2022-03-14 · record updated 2024-02-28. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: TANNER DENN, Credentialing Specialist · (719) 428-1840
Other names: WOVEN CARE
Addresses and phones
- Practice location 1325 S PRAIRIE AVE, PUEBLO, CO, 81005-2326 (719) 597-0822 Google Maps Apple Maps OpenStreetMap
- Mailing address 2233 ACADEMY PL STE 200, COLORADO SPRINGS, CO, 80909-1666 (719) 597-0822 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X
- Occupational Therapist 225X00000X
- Psychologist 103T00000X
- Speech-Language Pathologist, 235Z00000X
- Behavior Technician 106S00000X
- Behavior Analyst 103K00000X · Primary
In this directory
Locations and evidence
-
Practice location
PUEBLO, CO, 810052326
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.