Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205426533 Individual Practitioner Male Practitioner

Jacob Dierlam

Behavior Technician • Glen Ellyn, IL

Professional Overview & Biography Verified Profile Summary

Jacob Dierlam is a registered healthcare professional specializing in Behavior Technician in Glen Ellyn, IL. Practice services are available at 880 ROOSEVELT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

880 Roosevelt Rd

Glen Ellyn, IL 601377840

Telephone 8154691500
Fax 6306861535
Associated Practice Facility / Clinic
🏢 Westside Aba Facility NPI 1245585777

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Glen Ellyn, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Glen Ellyn, IL (9375 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-20
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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 may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Beverly Blust

Speech-Language Pathologist

NPI 1003332768
Jennifer Vargo , MS, CCC-SLP, L

Speech-Language Pathologist

NPI 1003343922

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence), L

Lauren Caratachea

Behavior Analyst

NPI 1013341031
Shannon Watson

Behavior Technician

NPI 1013481654
NPI 1013522747

Physical Therapist, Doctor of Physical Therapy

NPI 1013575232

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 20, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2021

Registered at 880 ROOSEVELT RD, GLEN ELLYN, IL 601377840 (Tel: 8154691500)

📍
Updated Business Mailing Address January 20, 2021

Registered at 880 ROOSEVELT RD, GLEN ELLYN, IL 601377840 (Tel: 8054691500)

👤
Provider Name / Credentials Updated January 20, 2021

Recorded as JACOB DIERLAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2021

Behavior Technician

🟢
Initial NPI Registration & Enumeration January 20, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205426533
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2021
Last Update: January 20, 2021
Sole Proprietor: No

Mailing Address

880 Roosevelt Rd

Glen Ellyn, IL 601377840

Phone: 8054691500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.