IndividualActive
Kellie Black
NPI 1124913405 · Behavior Technician · West Bloomfield, MI
Kellie Black is a Behavior Technician provider in West Bloomfield, MI (NPI 1124913405).
Provider details
- NPI number
- 1124913405
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5821 W Maple Rd Ste 195
West Bloomfield, MI 48322-2275
Phone: (844) 244-1818
Street-level locationGet directions
Mailing address
1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Registry dates
- Enumerated
- 2025-06-09
- Last updated
- 2025-06-09
- Certified
- 2025-06-09
Frequently asked questions
- What is Kellie Black's NPI number?
- Kellie Black's National Provider Identifier (NPI) is 1124913405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellie Black's specialty?
- Kellie Black is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kellie Black located?
- Kellie Black's practice location on file with NPPES is 5821 W Maple Rd Ste 195, West Bloomfield, MI 48322-2275.
- What is Kellie Black's phone number?
- The practice phone number listed in the NPPES registry for Kellie Black is (844) 244-1818.
- Is Kellie Black's NPI active?
- Yes — Kellie Black's NPI (1124913405) is active in the NPPES registry as of the last update on 2025-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.