| Radiant Aba Llc | |
|
562 Boulevard Fl 2 Kenilworth NJ 07033-1673 | |
| (878) 723-4268 | |
| (973) 379-4964 |
| Full Name | Radiant Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 562 Boulevard Fl 2, Kenilworth, New Jersey |
| Authorized Official Name and Position | Catherine Payne-lewis (OWNER) |
| Authorized Official Contact | 8787234268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Aba Llc 36 Farley Pl Apt A Short Hills NJ 07078-3319 Ph: (732) 701-7072 | Radiant Aba Llc 562 Boulevard Fl 2 Kenilworth NJ 07033-1673 Ph: (878) 723-4268 |
| NPI Number | 1215828751 |
|---|---|
| Provider Enumeration Date | 07/12/2025 |
| Last Update Date | 08/29/2025 |
| Certification Date | 08/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215828751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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