Madison Caice Land

NPI #1720890494 in Soddy Daisy, Tennessee

Provider Information

NPI Number: 1720890494
Entity Type: Individual
Name: Madison Caice Land
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 21, 2025
Last Updated: Jan 21, 2025

Practice Location

Address: 1515 SEQUOYAH ACCESS RD
City: Soddy Daisy
State: Tennessee
ZIP Code: 37379-3848
Phone: (423) 596-9966

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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