Cannon, Madison Elissa

Cannon, Madison Elissa is an individual health care provider with primary practice located at 9100 W 74Th St , Shawnee Mission KS 66204-4004. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Cannon, Madison Elissa can be contacted via phone (913) 676-2253.

Contact Information

Primary practice address
9100 W 74Th St Shawnee Mission KS 66204-4004
Phone: (913) 676-2253
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 21-165129 Kansas

Profile Details

NPI number 1821671108
LBN Legal business name Cannon, Madison Elissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2021
Last updated May 4th, 2021 - about 4 years 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.

Request for update

Popular Providers