Individual provider Active NPI

Annette Marie Cudnohufsky

  • Behavior Technician
  • Norfolk, VA
National Provider Identifier
1144986985
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
21-193062 Issued in VA
Practice address
1500 E Little Creek Rd Ste 204
Norfolk, VA 23518-4137
Phone
(804) 261-4163
NPI assigned
Nov 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 21-193062 VA Primary

Addresses

Primary practice location

1500 E Little Creek Rd Ste 204
Norfolk, VA 23518-4137

Mailing address

8115 Diven St
Norfolk, VA 23505-1417
Phone (805) 433-5029

Other names 1

  • Annette Marie Batista-Negron Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Annette.cudnohufsky@bhsva.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21-193062VAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Services of Virginia LLC PastSince Nov 21, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1144986985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 DIVEN ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235051417",
            "telephone_number": "805-433-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E LITTLE CREEK RD STE 204",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235184137",
            "telephone_number": "804-261-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDNOHUFSKY",
        "first_name": "ANNETTE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "21-193062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Annette.cudnohufsky@bhsva.net",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "address_1": "1500 E Little Creek Rd Ste 204",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235184137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "BATISTA-NEGRON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.