Kennerly, Candice

Kennerly, Candice is an sole proprietor health care provider with primary practice located at 520 Palm Coast Pkwy Sw Ste 103 , Palm Coast FL 32137-4743. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Kennerly, Candice can be contacted via phone (386) 225-4940.

Contact Information

Primary practice address
520 Palm Coast Pkwy Sw Ste 103 Palm Coast FL 32137-4743
Phone: (386) 225-4940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-23-69822 Florida
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-19-9711 Florida

Profile Details

NPI number 1801449558
LBN Legal business name Kennerly, Candice
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2019
Last updated Jan 17th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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