Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. ROXANNE TILLIE SKOGSTAD-DITSCH, M.ED., N.A.D.-III, L

Active Sole Proprietor

MS. ROXANNE TILLIE SKOGSTAD-DITSCH, M.ED., N.A.D.-III, L is a Behavior Analyst healthcare provider located in INTERNATIONAL FALLS, Minnesota. NPI 1871725937 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · INTERNATIONAL FALLS, MN

Registration Details

NPI Number: 1871725937
Provider Type: Individual
Gender: Female
NPI Issued: Aug 21, 2009 (17.013398365738 yrs)
Last Updated: Aug 21, 2009
Licenses: 261141 (MN)

261141 (ND)

L25101-1 (MN)
Sole Proprietor: Yes

Practice Information

Address: 1929 8TH AVE. E.

INTERNATIONAL FALLS, MN, 566493017
Browse MN providers · Browse ZIP 56649
Phone: 2182839773
Fax: 2182832092
Primary Specialty: Behavior Analyst
103K00000X
Additional Specialty: Behavior Analyst
Additional Specialty: Licensed Practical Nurse
Additional Specialty: Interpreter

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.