Provider Demographics
NPI:1295537165
Name:PATRICK, TRINADE C (RBT)
Entity type:Individual
Prefix:
First Name:TRINADE
Middle Name:C
Last Name:PATRICK
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:TRINADE
Other - Middle Name:C
Other - Last Name:PATRICK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RBT
Mailing Address - Street 1:3239 PLAYERS CLUB PKWY
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-8845
Mailing Address - Country:US
Mailing Address - Phone:901-256-4670
Mailing Address - Fax:
Practice Address - Street 1:3239 PLAYERS CLUB PKWY
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-8845
Practice Address - Country:US
Practice Address - Phone:901-256-4670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRBT-25-413146106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician