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

Shannon Kelly

Individual provider Behavior Technician · NPI 1124781299

Shannon Kelly is a Behavior Technician in Palm Coast, Florida. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

23 Rybar Ln
Palm Coast, FL 32164-6445
Phone: (386) 316-3004
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1124781299
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 15, 2021
Last updated in NPPESOctober 15, 2021
Certification dateOctober 15, 2021

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