# SOUTHVIEW AUTISM SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144083155
- **Authorized official:** FATUMA BULE (DIRECTOR)
- **Authorized official phone:** (651) 808-0433

## Contact information

- **Practice address:** 4555 ERIN DR \# 203, EAGAN, MN 55122-3398
- **Practice address phone:** (651) 808-0433
- **Mailing address:** 1865 OLD HUDSON RD \# B2, SAINT PAUL, MN 55119-4308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/01/2024
- **Last updated:** 07/30/2025