Madison Elissa Cannon
NPI #1821671108 in Shawnee Mission, Kansas
Provider Information
- NPI Number
- 1821671108
- Entity Type
- Individual
- Name
- Madison Elissa Cannon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 4, 2021
- Last Updated
- May 4, 2021
Practice Location
- Address
- 9100 W 74TH ST
- City
- Shawnee Mission
- State
- Kansas
- ZIP Code
- 66204-4004
- Phone
- (913) 676-2253
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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