Ezra Grimm
Ezra Grimm is a Behavior Technician in Du Quoin, Illinois. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
7672 State Route 154 Lot 609Du Quoin, IL 62832-3462
Phone: (618) 542-7525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1104761618 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | No |
| NPI enumerated | April 21, 2026 |
| Last updated in NPPES | April 21, 2026 |
| Certification date | April 21, 2026 |
| Mailing address | 7672 State Route 154 Lot 609, Du Quoin, IL 62832-3462 |