JACK WILDER
NPI 1043168347
Behavior Technician in Fairfax, VA
About Jack Wilder NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK WILDER (NPI 1043168347) is an individual behavior technician in Fairfax, Virginia and active in the NPI registry since March 2026.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFAX, VA 22031
FAIRFAX, VA 22031
FAIRFAX, VA 22031
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jack Wilder's NPI number?
The NPI number for Jack Wilder is 1043168347. It was assigned to this individual provider in the NPPES registry on March 20, 2026.
Where is Jack Wilder located?
Jack Wilder practices at 3022 Williams Dr, Fairfax, VA 22031. The listed phone number is (866) 727-8274.
What is Jack Wilder's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Jack Wilder was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.