Provider Demographics
NPI:1770258642
Name:PRITCHETT, DODI (BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:DODI
Middle Name:
Last Name:PRITCHETT
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64-5307 KIPAHELE ST
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-8255
Mailing Address - Country:US
Mailing Address - Phone:808-359-3326
Mailing Address - Fax:
Practice Address - Street 1:64-5307 KIPAHELE ST
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-8255
Practice Address - Country:US
Practice Address - Phone:808-359-3326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst