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Kristen Banua

Behavior Analyst β€’ Norfolk, VA

Active NPI 1013524008 Individual Practitioner Female Practitioner
Practice location in NPPES

220 Corporate Blvd
Norfolk, VA 23502

Call 7578018090 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

220 Corporate Blvd

Norfolk, VA 23502

Telephone 7578018090
Organization at the Same NPPES Address or Phone
Centria Healthcare Llc Facility NPI 1053641498

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Norfolk and Virginia

57 active clinicians are listed under Behavior Analyst with a practice address in Norfolk, VA (2,776 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Norfolk

0% of these 57 clinicians have the CMS telehealth indicator.

0% of these 57 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-10
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES VA 0133003778

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location October 10, 2025

Registered at 220 CORPORATE BLVD, NORFOLK, VA 23502 (Tel: 7578018090)

πŸ“
Updated Business Mailing Address October 10, 2025

Registered at 27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 483345312

πŸ“
Updated Practice Location February 17, 2025

Registered at 1030 LOFTIS BLVD STE 103, NEWPORT NEWS, VA 236062999 (Tel: 7577200099)

πŸ“
Updated Business Mailing Address February 17, 2025

Registered at 1030 LOFTIS BLVD STE 103, NEWPORT NEWS, VA 236062999 (Tel: 7577200099)

πŸ‘€
Provider Name / Credentials Updated February 17, 2025

Recorded as KRISTEN BANUA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2025

Behavior Analyst (license number reported to NPPES: VA 0133003778)

βœ…
NPI Profile Active September 24, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 24, 2020

Registered at 6849 PEACHTREE DUNWOODY RD BLDG A1, ATLANTA, GA 303286769 (Tel: 6786912206)

πŸ“
Business Mailing Address (Initial Record) September 24, 2020

Registered at 2472 JETT FERRY RD STE 400-197, ATLANTA, GA 303383059 (Tel: 6786912206)

πŸ‘€
Provider Name / Credentials (Initial Record) September 24, 2020

Recorded as KRISTEN GREEN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2020

Behavior Analyst

🟒
Initial NPI Registration & Enumeration September 24, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013524008
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2020
Last Update: October 10, 2025
Sole Proprietor: Yes

Mailing Address

27777 Inkster Rd Ste 100

Farmington Hills, MI 483345312

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.