Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENLI T BLACK, COMMUNITY PEER
Active Sole ProprietorKENLI T BLACK, COMMUNITY PEER is a Day Training/Habilitation healthcare provider located in GARDENA, California. NPI 1548012297 is currently active in the NPPES registry. Verify at CMS.
Day Training/Habilitation · GARDENA, CA
Registration Details
- NPI Number
- 1548012297
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2024 (2.380536944253 yrs)
- Last Updated
- Jul 16, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
1225 W 190TH ST STE 280GARDENA, CA, 902484305Browse CA providers · Browse ZIP 90248
- Phone
- 8775158113
- Primary Specialty
-
Day Training/Habilitation
373H00000X
- Additional Specialty
- Day Training/Habilitation
Other Day Training/Habilitation Providers in GARDENA, CA
| Name | Credential | NPI |
|---|---|---|
| PATRICE ROGERS | — | 1073639795 |
| MRS. ANDRA JOANN BONILLA | — | 1205020328 |
| DANA MONE'T PERRY | — | 1477856359 |
| YOLANDA CALDERON | — | 1669721759 |
| KARLA ZACARIAS | — | 1437580925 |
| MIRELLA JIMENEZ | — | 1235519000 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.