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Search › California › Day Training/Habilitation Specialist

Kenli Black, COMMUNITY PEER

NPI 1548012297 · on the registry since 2024 · sole proprietor

Practice

Address
1225 W 190th St Ste 280
Gardena, CA 90248
Phone
(877) 515-8113
Organisation at this address
Martha To Mary Pc
Sabath & Associates
Trusted Care Ca Llc
Ehab Yacoub Md Inc.
Ehab Yacoub Md Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
165

Registry record

Primary taxonomy
Day Training/Habilitation Specialist
373H00000X
Also registered as
Community Health Worker
Sex
Male
Record last updated
2026-08-02
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California