Jessica Black

NPI #1235089640 in Myrtle Beach, South Carolina

Provider Information

NPI Number: 1235089640
Entity Type: Individual
Name: Jessica Black
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Feb 3, 2026
Last Updated: Feb 3, 2026

Practice Location

Address: 1927 KATE LN
City: Myrtle Beach
State: South Carolina
ZIP Code: 29575-5319
Phone: (843) 283-1688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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