Healthcare Provider Details

I. General information

NPI: 1952228439
Provider Name (Legal Business Name): BEHAVIOR SUPPORT GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 FARLEY PL STE A
SHORT HILLS NJ
07078-3319
US

IV. Provider business mailing address

36 FARLEY PL STE A
SHORT HILLS NJ
07078-3319
US

V. Phone/Fax

Practice location:
  • Phone: 973-298-0967
  • Fax:
Mailing address:
  • Phone: 973-298-0967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE R PAYNE-LEWIS
Title or Position: CLINICAL DIRECTOR
Credential: BCBA
Phone: 973-298-0967