Provider Demographics
NPI:1104701465
Name:PAYNE-LEWIS, CATHERINE (BCBA)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:PAYNE-LEWIS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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 1:100 ENTERPRISE DR STE 301
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-2129
Practice Address - Country:US
Practice Address - Phone:772-675-9100
Practice Address - Fax:772-675-9100
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-07
Last Update Date:2025-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
15BC00238700103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty