Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Wilder

Individual provider Behavior Technician · NPI 1043168347

Jack Wilder is a Behavior Technician in Fairfax, Virginia. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3022 Williams Dr
Fairfax, VA 22031-4600
Phone: (866) 727-8274
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1043168347
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2026
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026
Mailing address2550 N Hollywood Way Ste 301, Burbank, CA 91505-5025

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