Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Dierlam

Individual provider Behavior Technician · NPI 1205426533

Jacob Dierlam is a Behavior Technician in Glen Ellyn, Illinois. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

880 Roosevelt Rd
Glen Ellyn, IL 60137-7840
Phone: (815) 469-1500
Fax: (630) 686-1535
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1205426533
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 20, 2021
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021
Mailing address880 Roosevelt Rd, Glen Ellyn, IL 60137-7840

Other providers in Glen Ellyn