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

Ezreal Shantez Moose

Individual provider Behavior Technician · NPI 1255217527

Ezreal Shantez Moose is a Behavior Technician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

901 W Trade St
Charlotte, NC 28202-1143
Phone: (704) 440-3580
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 1348804 (NC)

Record details

NPI number1255217527
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 13, 2025
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025

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