Dyshea Upshaw, BCBA 1-19-37422

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-37422 Issued in NJ

Practice address

921 Grenville Dr
Blackwood, NJ 08012-1343

Phone

(856) 831-6646

NPI assigned

Sep 6, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 2ND Chance Through Behavior Supports

  • Home Health Agency
  • Blackwood, NJ
  • NPI 1346058914
  NPD Authorized official
• Giving Better Lives LLC

  • Behavior Analyst
  • Pennsauken, NJ
  • NPI 1861034068
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1891344313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 GRENVILLE DR",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080121343",
            "telephone_number": "856-831-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 GRENVILLE DR",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080121343",
            "telephone_number": "856-831-6646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 S Crescent Blvd",
            "address_purpose": "LOCATION",
            "city": "Pennsauken",
            "state": "NJ",
            "postal_code": "081094103",
            "country_code": "US",
            "telephone_number": "856-831-6646 x16646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPSHAW",
        "first_name": "DYSHEA",
        "credential": "BCBA 1-19-37422",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-19-37422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0713619",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• True Therapy LLC
• Keish Malyn Tucker, LCSW
• Usv Optical Inc
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• Keelan Victor
• Victory Psych Consultation Services

• Behavior Analyst in Blackwood, NJ
• Providers in Blackwood, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.