IndividualActive
Jack Wilder
NPI 1043168347 · Behavior Technician · Fairfax, VA
Jack Wilder is a Behavior Technician provider in Fairfax, VA (NPI 1043168347).
Provider details
- NPI number
- 1043168347
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(46/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3022 Williams Dr
Fairfax, VA 22031-4600
Phone: (866) 727-8274
Approximate (ZIP-level) locationGet directions
Mailing address
2550 N Hollywood Way Ste 301
Burbank, CA 91505-5025
Registry dates
- Enumerated
- 2026-03-20
- Last updated
- 2026-03-20
- Certified
- 2026-03-20
Frequently asked questions
- What is Jack Wilder's NPI number?
- Jack Wilder's National Provider Identifier (NPI) is 1043168347, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Wilder's specialty?
- Jack Wilder is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jack Wilder located?
- Jack Wilder's practice location on file with NPPES is 3022 Williams Dr, Fairfax, VA 22031-4600.
- What is Jack Wilder's phone number?
- The practice phone number listed in the NPPES registry for Jack Wilder is (866) 727-8274.
- Is Jack Wilder's NPI active?
- Yes — Jack Wilder's NPI (1043168347) is active in the NPPES registry as of the last update on 2026-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.