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Ezreal Moose
NPI 1255217527 · Behavior Technician · Charlotte, NC
Ezreal Moose is a Behavior Technician provider in Charlotte, NC (NPI 1255217527).
Provider details
- NPI number
- 1255217527
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1348804 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
901 W Trade St
Charlotte, NC 28202-1143
Phone: (704) 440-3580
Street-level locationGet directions
Mailing address
5317 Roberta Crossing Dr
Concord, NC 28027-5714
Registry dates
- Enumerated
- 2025-08-13
- Last updated
- 2025-08-13
- Certified
- 2025-08-13
Frequently asked questions
- What is Ezreal Moose's NPI number?
- Ezreal Moose's National Provider Identifier (NPI) is 1255217527, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ezreal Moose's specialty?
- Ezreal Moose is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Ezreal Moose located?
- Ezreal Moose's practice location on file with NPPES is 901 W Trade St, Charlotte, NC 28202-1143.
- What is Ezreal Moose's phone number?
- The practice phone number listed in the NPPES registry for Ezreal Moose is (704) 440-3580.
- Is Ezreal Moose's NPI active?
- Yes — Ezreal Moose's NPI (1255217527) is active in the NPPES registry as of the last update on 2025-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.