Healthcare Provider Details

I. General information

NPI: 1861034068
Provider Name (Legal Business Name): GIVING BETTER LIVES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2019
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 S CRESCENT BLVD # 7500B
PENNSAUKEN NJ
08109-4103
US

IV. Provider business mailing address

921 GRENVILLE DR
BLACKWOOD NJ
08012-1343
US

V. Phone/Fax

Practice location:
  • Phone: 856-831-6646
  • Fax:
Mailing address:
  • Phone: 856-831-6646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: DYSHEA UPSHAW
Title or Position: ABA THERAPIST
Credential: BCBA
Phone: 856-831-6636