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General NPI Number Information
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NPI Number | 1215828751
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Entity Type | Organization
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Legal Business Name | RADIANT ABA LLC
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Dates
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Enumeration Date | 07/12/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 562 BOULEVARD FL 2
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City | KENILWORTH
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State | NJ
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Zip | 07033-1673
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Country | US
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Telephone | 878-723-4268
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Fax | 973-379-4964
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Provider Business Mailing Address
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Address Line | 36 FARLEY PL APT A
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City | SHORT HILLS
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State | NJ
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Zip | 07078-3319
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Country | US
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Telephone | 732-701-7072
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Fax | 973-298-0967
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Authorized Official
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Title or Position | OWNER
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Name | CATHERINE PAYNE-LEWIS
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Credential | BCBA
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Telephone | 878-723-4268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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