Healthcare Provider Details

I. General information

NPI: 1437061496
Provider Name (Legal Business Name): KHALEED PRITCHARD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 BELDEN AVE STE 4
NORWALK CT
06850-3314
US

IV. Provider business mailing address

20 WEED HILL AVE
STAMFORD CT
06907-1535
US

V. Phone/Fax

Practice location:
  • Phone: 203-772-8161
  • Fax: 203-580-8319
Mailing address:
  • Phone: 914-860-5058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: