Active NPI
Annette Marie Cudnohufsky
- Behavior Technician
- Norfolk, VA
National Provider Identifier
1144986985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 21-193062
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 21-193062 | VA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Services of Virginia LLC | Past | 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.
-
- Community Health Worker
- Richmond, VA
- NPI 1467093732
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.