Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Black

Individual provider Behavior Technician · NPI 1235089640

Jessica Black is a Behavior Technician in North Myrtle Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2026.

Licensed in
SC
In the registry since
2026

Practice location Address checks out

730 Main St # 230
North Myrtle Beach, SC 29582-3030
Phone: (813) 763-5469
Fax: (813) 441-8362
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-26-535835 (SC)

Record details

NPI number1235089640
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 3, 2026
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026
Mailing address1927 Kate Ln, Myrtle Beach, SC 29575-5319

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