EZRA GRIMM
NPI 1104761618
Behavior Technician in Du Quoin, IL

Active since April 21, 2026
7672 STATE ROUTE 154 LOT 609, DU QUOIN, IL 62832(618) 542-7525 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ezra Grimm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EZRA GRIMM (NPI 1104761618) is an individual behavior technician in Du Quoin, Illinois and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1104761618
Entity TypeIndividual
Primary Taxonomy106S00000X
Provider Legal NameEZRA GRIMM
Location Address7672 STATE ROUTE 154 LOT 609Du Quoin, IL 62832-3462
Mailing Address7672 State Route 154 Lot 609Du Quoin, IL 62832-3462 · (618) 542-7525
Sole ProprietorNo
Enumeration DateApril 21, 2026
NPPES CertifiedApril 21, 2026
NPI 1104761618 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.
7672 STATE ROUTE 154 LOT 609, Du Quoin, IL 62832

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 Ezra Grimm's NPI number?

The NPI number for Ezra Grimm is 1104761618. It was assigned to this individual provider in the NPPES registry on April 21, 2026.

Where is Ezra Grimm located?

Ezra Grimm practices at 7672 State Route 154 Lot 609, Du Quoin, IL 62832. The listed phone number is (618) 542-7525.

What is Ezra Grimm'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 Ezra Grimm was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.