Provider Demographics
NPI:1902116916
Name:APPLE TREE EARLY INTERVENTION CENTER, INC.
Entity Type:Organization
Organization Name:APPLE TREE EARLY INTERVENTION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR/CEO/CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-310-0883
Mailing Address - Street 1:5851 NEWMAN ST
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-3322
Mailing Address - Country:US
Mailing Address - Phone:714-826-4957
Mailing Address - Fax:714-489-2191
Practice Address - Street 1:5851 NEWMAN ST
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-3322
Practice Address - Country:US
Practice Address - Phone:714-826-4957
Practice Address - Fax:714-489-2191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-12
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2251P0200X, 225XP0200X
CA331592251P0200X
CA167102251P0200X
CA2034225XP0200X
CA18852235Z00000X
CA9463235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty