NPI: 1427724947 · COLORADO SPRINGS, CO 80920 · Behavioral Analyst · NPI assigned 08/17/2021
| Authorized Official | DENN, TANNER (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 08/17/2021 |
Other providers sharing the same authorized official: DENN, TANNER
| Provider | City | State | Total Paid |
|---|---|---|---|
| BUCK JACK LLC | COLORADO SPRINGS | CO | $32.80M |
| BUCK JACK, LLC DBA THE SHANDY CLINIC | PUEBLO | CO | $679K |
| BUCK JACK LLC | COLORADO SPRINGS | CO | $259K |
| BUCK JACK LLC | COLORADO SPRINGS | CO | $128K |
| BUCK JACK LLC | FOUNTAIN | CO | $73K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 76 | $17K |