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Dyshea Upshaw , BCBA 1-19-

Behavior Analyst β€’ Blackwood, NJ

Active NPI 1891344313 Individual Practitioner Female Practitioner
Practice location in NPPES

921 Grenville Dr
Blackwood, NJ 080121343

Call 8568316646 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

921 Grenville Dr

Blackwood, NJ 080121343

Telephone 8568316646
Organization at the Same NPPES Address or Phone
Giving Better Lives Llc Facility NPI 1316755960

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Pennsauken, NJ. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Blackwood and New Jersey

5 active clinicians are listed under Behavior Analyst with a practice address in Blackwood, NJ (3,896 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-23
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES NJ 1-19-37422

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0713619 (NJ)

Secondary Practice Locations

7500 S Crescent Blvd

Pennsauken, NJ 081094103

Phone: 8568316646

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location July 23, 2026

Registered at 921 GRENVILLE DR, BLACKWOOD, NJ 080121343 (Tel: 8568316646)

🏒
Secondary Practice Location Registered July 23, 2026

Additional practice office at 7500 S Crescent Blvd, Pennsauken, NJ 081094103

πŸ“
Updated Business Mailing Address January 13, 2025

Registered at 921 GRENVILLE DR, BLACKWOOD, NJ 080121343 (Tel: 8568316646)

πŸ“
Updated Practice Location November 02, 2022

Registered at 190 N EVERGREEN AVE STE 205, WOODBURY, NJ 080961862 (Tel: 8568316646)

πŸ“
Updated Business Mailing Address November 02, 2022

Registered at 190 N EVERGREEN AVE STE 205, WOODBURY, NJ 080961862 (Tel: 8568316646)

πŸ“
Updated Business Mailing Address April 12, 2022

Registered at 590 LOWER LANDING RD UNIT 157, BLACKWOOD, NJ 080124268 (Tel: 8568316646)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2022

Behavior Analyst (license number reported to NPPES: NJ 1-19-37422)

πŸ‘€
Provider Name / Credentials Updated October 07, 2019

Recorded as DYSHEA UPSHAW, BCBA 1-19-37422

βœ…
NPI Profile Active September 06, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 06, 2019

Registered at 808 GREGORYS WAY, VOORHEES, NJ 080432056 (Tel: 8568316636)

πŸ“
Business Mailing Address (Initial Record) September 06, 2019

Registered at 808 GREGORYS WAY, VOORHEES, NJ 080432056 (Tel: 8568316636)

πŸ‘€
Provider Name / Credentials (Initial Record) September 06, 2019

Recorded as DYSHEA UPSHAW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2019

Behavior Analyst

🟒
Initial NPI Registration & Enumeration September 06, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1891344313
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2019
Last Update: July 23, 2026
Sole Proprietor: Yes

Mailing Address

921 Grenville Dr

Blackwood, NJ 080121343

Phone: 8568316646

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.