Individual provider · Type 1 NPI

Jessica Black

Behavior Technician · North Myrtle Beach, SC

NPI number 1235089640 Active

Practice location

730 Main St # 230
North Myrtle Beach, SC 29582-3030

Call (813) 763-5469 Map

Fax (813) 441-8362

Mailing address

1927 Kate Ln
Myrtle Beach, SC 29575-5319

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-26-535835 (SC)

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1235089640

Jessica Black's National Provider Identifier is 1235089640, issued on Feb 3, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in North Myrtle Beach, SC. The record was last updated on May 20, 2026.