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

Shalitha Ezell

Individual provider Behavior Technician · NPI 1306716550

Shalitha Ezell is a Behavior Technician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

1260 Ekhart St NE
Grand Rapids, MI 49503-1380
Phone: (616) 965-3492
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MI)

Record details

NPI number1306716550
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 11, 2025
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address3029 Poplar Creek Dr Se Unit 103, Grand Rapids, MI 49512-5666

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