Tia Trishanna Patillo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1030 Loftis Blvd Ste 103
Newport News, VA 23606-2999

Phone

(757) 720-0099

NPI assigned

Mar 26, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Autism Therapeutic Services

  • Behavior Analyst
  • Fayetteville, NC
  • NPI 1598067449

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1194527408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 LOFTIS BLVD STE 103",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 LOFTIS BLVD STE 103",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062999",
            "telephone_number": "757-720-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATILLO",
        "first_name": "TIA",
        "middle_name": "TRISHANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parin Patel, M.D.
• Pathways Developmental Services Inc.
• Patient Care Medical Transport LLC
• Patient First
• Patient First Richmond Medical Group PLLC
• Annette Marliese Patino-Gonzalez, M.S. CCC-SLP
• Patrick Henry Hospital Inc
• Patrick Henry Hospital, Inc.
• Benita C Patrick, M.A.,SLP
• Rachel Amitta Paul-Jeyadhas, MD

• Behavior Technician in Newport News, VA
• Providers in Newport News, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.