EZRA GRIMM
NPI 1104761618
Behavior Technician in Du Quoin, IL
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
Specialties & Licenses
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.