Jacob Dierlam
Behavior Technician · Glen Ellyn, IL
NPI number
1205426533
Practice location
880 Roosevelt RdGlen Ellyn, IL 60137-7840
- Phone
- (815) 469-1500
- Fax
- (630) 686-1535
NPI record
- NPI
- 1205426533
- Entity type
- Individual (Type 1)
- Enumeration date
- January 20, 2021
- Last updated
- January 20, 2021
- Certified
- January 20, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X |
— | — |
About Jacob Dierlam
Jacob Dierlam is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 880 Roosevelt Rd, Glen Ellyn, IL 60137-7840. The NPI number 1205426533 was assigned on January 20, 2021 and the record was last updated on January 20, 2021.
Frequently asked questions
What is the NPI number of Jacob Dierlam?
The NPI number is 1205426533.
What is the phone number of Jacob Dierlam?
The phone number listed for the practice location is (815) 469-1500.
Where is Jacob Dierlam located?
880 Roosevelt Rd, Glen Ellyn, IL 60137-7840.
What is the taxonomy code for Jacob Dierlam?
The primary taxonomy code is 106S00000X – Behavior Technician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Behavior Technician providers in Glen Ellyn
- Dahea Lee910 Roosevelt Rd
- Adeela Zainab Muzammil2s381 Chaucer Ct