Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801449558 Individual Practitioner Female Practitioner

Candice Kennerly

Behavior Analyst • Palm Coast, FL

Professional Overview & Biography Verified Profile Summary

Candice Kennerly is a registered healthcare professional specializing in Behavior Analyst in Palm Coast, FL. Practice services are available at 520 PALM COAST PKWY SW STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

520 Palm Coast Pkwy Sw Ste 103

Palm Coast, FL 321374743

Telephone 3862254940
Associated Practice Facility / Clinic
🏢 Echo Community Outreach Inc Facility NPI 1780221903

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Palm Coast, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
30 Specialists

Practicing in Palm Coast, FL (13679 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-20
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License FL 1-23-69822

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.

Assistant Behavior Analyst

NUCC Taxonomy Code: 106E00000X

State License FL 0-19-9711

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Shaquiara Dormevil , RBT

Behavior Technician

NPI 1992213128

Registered Behavior Technician

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2025

Assistant Behavior Analyst (License #0-19-9711 in FL)

📍
Updated Business Mailing Address January 17, 2024

Registered at 1 BLAINE DR, PALM COAST, FL 321377324

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2024

Behavior Analyst (License #1-23-69822 in FL)

NPI Profile Active July 22, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 22, 2019

Registered at 520 PALM COAST PKWY SW STE 103, PALM COAST, FL 321374743 (Tel: 3862254940)

📍
Updated Business Mailing Address July 22, 2019

Registered at 97 FARRAGUT DR, PALM COAST, FL 321378207

👤
Provider Name / Credentials Updated July 22, 2019

Recorded as CANDICE KENNERLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2019

Assistant Behavior Analyst (License #0-19-9711 in FL)

🟢
Initial NPI Registration & Enumeration July 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801449558
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2019
Last Update: March 20, 2025
Sole Proprietor: Yes

Mailing Address

1 Blaine Dr

Palm Coast, FL 321377324

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.