SearchIllinoisBehavior Technician

Ezra Grimm

NPI 1104761618 · on the registry since 2026

Practice

Address
7672 State Route 154 Lot 609
Du Quoin, IL 62832
Phone
(618) 542-7525

Registry record

Primary taxonomy
Behavior Technician
106S00000X
Sex
Male
Record last updated
2026-04-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois