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CANDICE KENNERLY
NPI 1801449558
Behavior Analyst in Palm Coast, FL

Active since July 22, 2019
520 PALM COAST PKWY SW STE 103, PALM COAST, FL 32137(386) 225-4940 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2025, Jul 22, 2019 (2 updates tracked since 2019).

About Candice Kennerly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDICE KENNERLY (NPI 1801449558) is an individual behavior analyst provider in Palm Coast, Florida, licensed in Florida (1-23-69822) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1801449558
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameCANDICE KENNERLY
Location Address520 PALM COAST PKWY SW STE 103Palm Coast, FL 32137-4743
Mailing Address1 Blaine DrPalm Coast, FL 32137-7324
Phone(386) 225-4940
Sole ProprietorYes
Enumeration DateJuly 22, 2019
Last NPPES UpdateMarch 20, 20252 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1801449558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in FL · 1-23-69822
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Also ListedAssistant Behavior AnalystTaxonomy 106E00000X · License 0-19-9711 (FL)
520 PALM COAST PKWY SW STE 103, Palm Coast, FL 32137
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE RAMIREZ
Behavior Technician
520 PALM COAST PKWY SW STE 103
PALM COAST, FL 32137
Flagler County (386) 225-9490
ECHO COMMUNITY OUTREACH INC
Day Training, Developmentally Disabled Services
520 PALM COAST PKWY SW STE 103
PALM COAST, FL 32137
Flagler County (386) 225-4940

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candice Kennerly's NPI number?

The NPI number for Candice Kennerly is 1801449558. It was assigned to this individual provider in the NPPES registry on July 22, 2019.

Where is Candice Kennerly located?

Candice Kennerly practices at 520 Palm Coast Pkwy SW Ste 103, Palm Coast, FL 32137. The listed phone number is (386) 225-4940.

What is Candice Kennerly's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Candice Kennerly was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.