Southview Autism Services LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

SOUTHVIEW AUTISM SERVICES LLC

Practice address

4555 Erin Dr # 203
Eagan, MN 55122-3398

Phone

(651) 808-0433

NPI assigned

Feb 1, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fatuma Bule

Title

Director

Phone

(651) 808-0433

Specialties & licenses 1

Addresses

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hodan Warsame Adan

  • Behavior Technician
  • Saint Paul, MN
  • NPI 1093558280
  NPD
• Kamal Mohamed Kedir

  • Behavior Technician
  • Saint Paul, MN
  • NPI 1376386805
  NPD
• Amal Dahir Mohamud

  • Behavior Technician
  • Saint Paul, MN
  • NPI 1164265351
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1144083155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 OLD HUDSON RD # B2",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 ERIN DR # 203",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223398",
            "telephone_number": "651-808-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHVIEW AUTISM SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "BULE",
        "authorized_official_first_name": "FATUMA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-808-0433"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Eagan, MN
• Developmental Disabilities Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.