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

Jordan Randolph Wilson

Individual provider Behavior Technician · NPI 1366107567

Jordan Randolph Wilson is a Behavior Technician in El Dorado Hills, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

5170 Golden Foothill Pkwy Ste 143
El Dorado Hills, CA 95762-9608
Phone: (916) 280-4678
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 number1366107567
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 2, 2021
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021

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