JACK WILDER
NPI 1043168347
Behavior Technician in Fairfax, VA

Active since March 20, 2026
3022 WILLIAMS DR, FAIRFAX, VA 22031(866) 727-8274 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1043168347
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJACK WILDER
Location Address3022 WILLIAMS DRFairfax, VA 22031-4600
Mailing Address2550 N Hollywood Way Ste 301Burbank, CA 91505-5025
Sole ProprietorNo
Enumeration DateMarch 20, 2026
NPPES CertifiedMarch 20, 2026
NPI 1043168347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
3022 WILLIAMS DR, Fairfax, VA 22031

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.

Pediatrics (Pediatric Gastroenterology)
3022 WILLIAMS DR, SUITE 301
FAIRFAX, VA 22031
Specialist
3022 WILLIAMS DR, STE 204
FAIRFAX, VA 22031
Specialist
3022 WILLIAMS DR, STE 204
FAIRFAX, VA 22031
Physician Assistant (Medical)
3022 WILLIAMS DR, SUITE 300
FAIRFAX, VA 22031
Behavior Technician
3022 WILLIAMS DR
FAIRFAX, VA 22031
Dietitian, Registered (Nutrition, Metabolic)
3022 WILLIAMS DR, SUITE 300
FAIRFAX, VA 22031
Psychologist (Clinical)
3022 WILLIAMS DR, SUITE 300
FAIRFAX, VA 22031
Behavior Technician
3022 WILLIAMS DR
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.