Casey Fodness, RBT
Individual provider Active NPI Behavior Technician · Sioux Falls, SD
NPI 1497230403 · NPPES record last updated Oct 15, 2019
Key facts
- NPI
- 1497230403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1105 W Russell St
Sioux Falls, SD 57104-1322 - Phone
- (605) 271-2690
- Fax
- (605) 271-3956
- NPI assigned
- Sep 26, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1105 W Russell St
Sioux Falls, SD 57104-1322
Mailing address
2804 E 26TH St Ste 1
Sioux Falls, SD 57103-4019
Phone (605) 271-2690
Other practice location 1
1101 W Russell St
Sioux Falls, SD 57104-1322
Phone (605) 271-2690
Other providers in Sioux Falls, SD
- Ann Marie Flynn-Crowe
- Kathryn Flynn
- Sarah A Flynn
- Valerie Flynn
- Focus Optometry, P.C.
- Sarah Fodness
- Julie Lynn Fods
- Bruce S Fogas
- Emmanuel Fohle
- Stephen Thomas Foley
All providers in Sioux Falls, SD · Behavior Technician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.