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

Kenneth L Holley Jr.

Individual provider Behavior Technician · NPI 1639797848

Kenneth L Holley Jr. is a Behavior Technician in Cocoa, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

453 King St
Cocoa, FL 32922-7621
Phone: (321) 633-5511
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-20-128052

Record details

NPI number1639797848
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 14, 2020
Last updated in NPPESApril 13, 2022
Certification dateApril 13, 2022

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