Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Candice Kennerly

Individual provider Assistant Behavior Analyst · NPI 1801449558

Candice Kennerly is an Assistant Behavior Analyst in Palm Coast, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

520 Palm Coast Pkwy SW Ste 103
Palm Coast, FL 32137-4743
Phone: (386) 225-4940
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-23-69822 (FL)
Assistant Behavior Analyst Taxonomy 106E00000X · Licence 0-19-9711 (FL)

Record details

NPI number1801449558
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 22, 2019
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing address1 Blaine Dr, Palm Coast, FL 32137-7324

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