Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CANDICE KENNERLY
Active Sole ProprietorCANDICE KENNERLY is a Behavior Analyst healthcare provider located in PALM COAST, Florida. NPI 1801449558 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · PALM COAST, FL
Registration Details
- NPI Number
- 1801449558
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 22, 2019 (7.0440037467818 yrs)
- Last Updated
- Mar 20, 2025
- Licenses
-
0-19-9711 (FL)1-23-69822 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
520 PALM COAST PKWY SW STE 103PALM COAST, FL, 321374743Browse FL providers · Browse ZIP 32137
- Phone
- 3862254940
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in PALM COAST, FL
| Name | Credential | NPI |
|---|---|---|
| ALLISON JOY BLODGETT | BCBA | 1265671135 |
| MS. MELISSA MOSSFORD-CARROLL | BCBA; LMHC | 1760614713 |
| TERESA LAGO | — | 1447558564 |
| HAROLD JOHANESSEN JR. | BCBA | 1184915621 |
| LANCE JORDAN WEBBER | M.A., BCBA | 1457691636 |
| THOMAS A ALTRO | BCBA | 1801223169 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.