Individual provider · Type 1 NPI

Jacob Dierlam

Behavior Technician · Glen Ellyn, IL

NPI number 1205426533 Active

Practice location

880 Roosevelt Rd
Glen Ellyn, IL 60137-7840

Fax (630) 686-1535

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone 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…

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About NPI 1205426533

Jacob Dierlam's National Provider Identifier is 1205426533, issued on Jan 20, 2021. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Glen Ellyn, IL. The record was last updated on Jan 20, 2021.