Black, Jessica

Black, Jessica is an individual health care provider with primary practice located at 730 Main St # 230 , North Myrtle Beach SC 29582-3030. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Black, Jessica can be contacted via phone (813) 763-5469.

Contact Information

Primary practice address
730 Main St # 230 North Myrtle Beach SC 29582-3030
Phone: (813) 763-5469
Fax: (813) 441-8362
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-26-535835 South Carolina

Profile Details

NPI number 1235089640
LBN Legal business name Black, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2026
Last updated May 20th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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