Provider Demographics
NPI:1215828751
Name:RADIANT ABA
Entity type:Organization
Organization Name:RADIANT ABA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAYNE-LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:878-723-4268
Mailing Address - Street 1:36 FARLEY PL APT A
Mailing Address - Street 2:
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078-3319
Mailing Address - Country:US
Mailing Address - Phone:732-701-7072
Mailing Address - Fax:973-298-0967
Practice Address - Street 1:562 BOULEVARD FL 2
Practice Address - Street 2:
Practice Address - City:KENILWORTH
Practice Address - State:NJ
Practice Address - Zip Code:07033-1673
Practice Address - Country:US
Practice Address - Phone:878-723-4268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-12
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty