Healthcare Provider Details

I. General information

NPI: 1316737554
Provider Name (Legal Business Name): ANNABELLE MARIA HENCE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2025
Last Update Date: 05/10/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 KEMPSVILLE RD
CHESAPEAKE VA
23320-8134
US

IV. Provider business mailing address

7 WOLFE RD
NARRAGANSETT RI
02882-1512
US

V. Phone/Fax

Practice location:
  • Phone: 757-578-8608
  • Fax:
Mailing address:
  • Phone: 401-212-5305
  • 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: