Dyshea Upshaw, BCBA 1-19-37422
Behavior Analyst in Blackwood, New Jersey
1891344313- Practice location
- 921 Grenville Dr, Blackwood, NJ 08012-1343
- Phone
- 856-831-6646
- Fax
- —
- Last updated
- July 23, 2026
Dyshea Upshaw is a Behavior Analyst based in Blackwood, NJ. Dyshea Upshaw practices in Blackwood, NJ and has the professional credentials of BCBA 1-19-37422. The NPI Number for Dyshea Upshaw is 1891344313 and holds a License No. 1-19-37422 (NJ). The current practice location address for Dyshea Upshaw is 921 Grenville Dr, Blackwood, NJ 08012-1343 and can be reached out via phone at 856-831-6646.
Provider Profile Details
- NPI Number
- 1891344313
- Provider Name
- Dyshea Upshaw
- Credential
- BCBA 1-19-37422
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 921 Grenville Dr, Blackwood, NJ 08012-1343
- Phone Number
- 856-831-6646
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 6, 2019
- Last Update Date
- July 23, 2026
- Certification Date
- July 23, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 921 Grenville Dr
Blackwood, NJ 08012-1343 - City
- Blackwood
- State
- New Jersey
- Zip
- 08012-1343
- Phone Number
- 856-831-6646
Provider Business Mailing Address Details
- Address
- 921 Grenville Dr
Blackwood, NJ 08012-1343 - City
- Blackwood
- State
- NJ
- Zip
- 08012-1343
- Phone Number
- 856-831-6646
License Information
- License Number
- 1-19-37422
- License State
- NJ
- Taxonomy
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Behavior Analysts near Blackwood, NJ
View all Behavior Analysts in Blackwood →Frequently Asked Questions
What is the NPI number of Dyshea Upshaw, BCBA 1-19-37422?
The NPI number of Dyshea Upshaw, BCBA 1-19-37422 is 1891344313. It was assigned on September 6, 2019 and is currently active in the NPPES registry.
What is the specialty of Dyshea Upshaw, BCBA 1-19-37422?
Dyshea Upshaw, BCBA 1-19-37422 is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NJ under license number 1-19-37422.
Where does Dyshea Upshaw, BCBA 1-19-37422 practice?
The practice location is 921 Grenville Dr, Blackwood, NJ 08012-1343. The office can be reached at 856-831-6646 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891344313 directly on the NPPES registry website.