SOUTHEAST MISSOURI STATE UNIVERSITY AUTISM CENTER
NPI 1699020503
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Cape Girardeau, MO

Active since July 17, 2012
611 N FOUNTAIN ST, CAPE GIRARDEAU, MO 63701(573) 986-4985(573) 986-4994 Get Directions Write a Review

NPPES record last updated: July 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast Missouri State University Autism Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST MISSOURI STATE UNIVERSITY AUTISM CENTER (NPI 1699020503) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Cape Girardeau, Missouri and active in the NPI registry since July 2012. The organization lists Connie L Hebert, Director, as its authorized official.

NPPES Registry Identity

NPI1699020503
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSOUTHEAST MISSOURI STATE UNIVERSITY AUTISM CENTER
Location Address611 N FOUNTAIN STCape Girardeau, MO 63701-7244
Mailing Address1 University Plz, Mailstop 9450Cape Girardeau, MO 63701-4710 · (573) 986-4985 · Fax (573) 986-4994
Fax(573) 986-4994
Organization SubpartNo
Authorized OfficialConnie L HebertDirector · (573) 986-4985
Enumeration DateJuly 17, 2012
NPI 1699020503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
611 N FOUNTAIN ST, Cape Girardeau, MO 63701

Other Identifiers 1

Medicaid1316261621MO

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
611 N FOUNTAIN ST
CAPE GIRARDEAU, MO 63701
Behavior Analyst
611 N FOUNTAIN ST
CAPE GIRARDEAU, MO 63701
Behavior Analyst
611 N FOUNTAIN ST
CAPE GIRARDEAU, MO 63701
Behavior Analyst
611 N FOUNTAIN ST
CAPE GIRARDEAU, MO 63701
Speech-Language Pathologist
611 N FOUNTAIN ST
CAPE GIRARDEAU, MO 63701
Behavior Analyst
611 N FOUNTAIN ST
CAPE GIRARDEAU, MO 63701
Behavior Analyst
611 N FOUNTAIN ST
CAPE GIRARDEAU, MO 63701
Psychologist
611 N FOUNTAIN ST
CAPE GIRARDEAU, MO 63701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Missouri State University Autism Center's NPI number?

The NPI number for Southeast Missouri State University Autism Center is 1699020503. It was assigned to this organization in the NPPES registry on July 17, 2012.

Where is Southeast Missouri State University Autism Center located?

Southeast Missouri State University Autism Center is located at 611 N Fountain St, Cape Girardeau, MO 63701. The listed phone number is (573) 986-4985.

What is Southeast Missouri State University Autism Center's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Southeast Missouri State University Autism Center was last updated on July 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.