Individual
CASEY FODNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1105 W RUSSELL ST, SIOUX FALLS, SD 57104-1322
(605) 271-2690
(605) 271-3956
Mailing address
2804 E 26TH ST STE 1, SIOUX FALLS, SD 57103-4019
(605) 271-2690
(605) 271-3956
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
10/15/2019
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