Individual provider · Type 1 NPI
Ezra Grimm
Behavior Technician · Du Quoin, IL
Practice location
7672 State Route 154 Lot 609
Du Quoin, IL 62832-3462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician Primary | 106S00000X | None listed |
Behavior Technician: 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…
About NPI 1104761618
Ezra Grimm's National Provider Identifier is 1104761618, issued on Apr 21, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Du Quoin, IL. The record was last updated on Apr 21, 2026.