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

Mr. Andre Deshan Willard Jr.

Individual provider Behavior Technician · NPI 1366245391

Mr. Andre Deshan Willard Jr. is a Behavior Technician in Folsom, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1825 Prairie City Rd
Folsom, CA 95630-9578
Phone: (916) 693-6351
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 number1366245391
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2025
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing address1825 Prairie City Rd, Folsom, CA 95630-9578

Other providers in Folsom