JACOB GRAY
NPI 1770377020
Behavior Technician in Peoria, IL

NPI Status: Active since April 09, 2025

Contact Information

507 E ARMSTRONG AVE
PEORIA, IL
ZIP 61603
Phone: (309) 686-1177

Get Directions Reviews

  • Individual
  • Male
  • Behavior Technician

About JACOB GRAY

This page provides the complete NPI Profile along with additional information for Jacob Gray, a provider established in Peoria, Illinois with a medical specialization in Behavior Technician. The healthcare provider is registered in the NPI registry with number 1770377020 assigned on April 2025. The practitioner's primary taxonomy code is 106S00000X with license number RBT-22-208037 (IL). The provider is registered as an individual and his NPI record was last updated April 2025.

NPI
1770377020
Provider Name
JACOB GRAY
Gender
Male
Entity Type
Individual
Location Address
507 E ARMSTRONG AVE PEORIA, IL 61603
Location Phone
(309) 686-1177
Mailing Address
398 HOLLAND RD GERMANTOWN HILLS, IL 61548
Mailing Phone
(309) 253-2108
Is Sole Proprietor?
No
Enumeration Date
04-09-2025
Last Update Date
04-09-2025

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Technician

Taxonomy Code
106S00000X
Type
Behavioral Health & Social Service Providers
License No.
RBT-22-208037
License State
IL
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770377020
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27140671404
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 6 + 7 + 1 + 4 + 0 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1770377020 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366413551 LISA D GUMMERMAN PT
Individual
Physical Therapist507 E ARMSTRONG AVE
PEORIA, IL 61603
(309) 686-1177
1174597371 SUE CLARK MD
Individual
Pediatrics (Developmental - Behavioral Pediatrics)507 E ARMSTRONG AVE REGIONAL DEVELOPMENT CENTER
PEORIA, IL 61603
(309) 681-6960
1669541736 ALLISON LEIGH HADRA MS, CCC-SLP
Individual
Speech-Language Pathologist507 E ARMSTRONG AVE
PEORIA, IL 61603
(309) 686-1177
1407980519 KELLI M COTHERN SPEECH THERAPIST
Individual
Speech-Language Pathologist507 E ARMSTRONG AVE
PEORIA, IL 61603
(309) 686-1177
1285768937 ANGELA K DELOST OCCUP. THERAPIST
Individual
Occupational Therapist507 E ARMSTRONG AVE
PEORIA, IL 61603
(309) 686-1177
1023142619 VANESSA L HALSTEAD PHYSICAL THERAPIST
Individual
Physical Therapist507 E ARMSTRONG AVE
PEORIA, IL 61603
(309) 686-1177
1063546216 KORY R KAEB PHYSICAL THERAPIST
Individual
Physical Therapist507 E ARMSTRONG AVE
PEORIA, IL 61603
(309) 686-1177
1720102999MS. GRETCHEN MEYER PT
Individual
Physical Therapist (Pediatrics)507 E ARMSTRONG AVE
PEORIA, IL 61603
(309) 686-1177
1477687697 STACY M HAAS SPEECH THERAPIST
Individual
Speech-Language Pathologist507 E ARMSTRONG AVE
PEORIA, IL 61603
(309) 686-1177
1265566566 DEBRA N GILL SPEECH THERAPIST
Individual
Speech-Language Pathologist507 E ARMSTRONG AVE
PEORIA, IL 61603
(309) 686-1177
1477687788 LYNN P GORSUCH PHYSICAL THERAPIST
Individual
Physical Therapy Assistant507 E ARMSTRONG AVE
PEORIA, IL 61603
(309) 686-1177
1245364405 TERRI M DESMOND SPEECH THERAPIST
Individual
Speech-Language Pathologist507 E ARMSTRONG AVE
PEORIA, IL 61603
(309) 686-1177
1710011077 AMANDA J JOHNSON SPEECH THERAPIST
Individual
Speech-Language Pathologist507 E ARMSTRONG AVE
PEORIA, IL 61603
(309) 686-1177
1922122175 RECECCA L ROCK SPEECH THERAPIST
Individual
Speech-Language Pathologist507 E ARMSTRONG AVE
PEORIA, IL 61603
(309) 686-1177
1649395203 ERICA M GLEASON PHYSICAL THEAPIST
Individual
Physical Therapist507 E ARMSTRONG AVE
PEORIA, IL 61603
(309) 686-1177
1336264886 REBECCA LYNN BRADLEY PTA
Individual
Physical Therapy Assistant507 E ARMSTRONG AVE
PEORIA, IL 61603
(309) 686-1177
1093830184 STEPHANIE A POLKA PHYSICAL THERAPIST
Individual
Physical Therapist507 E ARMSTRONG AVE
PEORIA, IL 61603
(306) 686-1177
1427174341 CHRISTINA M TOOHILL OCCUP THERAPIST
Individual
Occupational Therapist507 E ARMSTRONG AVE
PEORIA, IL 61603
(309) 686-1177
1871619619 KAREN L NELSON OCCUP THERAPIST
Individual
Occupational Therapist507 E ARMSTRONG AVE
PEORIA, IL 61603
(309) 686-1177
1679699250 VERONICA S TOOHILL OCCUP THERPAIST
Individual
Occupational Therapist507 E ARMSTRONG AVE
PEORIA, IL 61603
(309) 686-1177

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770377020, enumerated in the NPI registry as an "individual" on April 09, 2025

The provider is located at 507 E Armstrong Ave Peoria, Il 61603 and the phone number is (309) 686-1177

The provider's speciality is Behavior Technician with taxonomy code 106S00000X

This NPI record was last updated on April 09, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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