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

Jacob Gray

Individual provider Behavior Technician · NPI 1770377020

Jacob Gray is a Behavior Technician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

507 E Armstrong Ave
Peoria, IL 61603-3201
Phone: (309) 686-1177
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-22-208037 (IL)

Record details

NPI number1770377020
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2025
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing address398 Holland Rd, Germantown Hills, IL 61548-8345

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