Healthcare Provider Details

I. General information

NPI: 1801730965
Provider Name (Legal Business Name): APEX PEDIATRIC HEALTH CO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/19/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5245 CENTENNIAL BLVD STE 100
COLORADO SPRINGS CO
80919-4405
US

IV. Provider business mailing address

PO BOX 564
NORTHBROOK IL
60065-0564
US

V. Phone/Fax

Practice location:
  • Phone: 719-661-0227
  • Fax:
Mailing address:
  • Phone: 847-604-0955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: V ANAND
Title or Position: MANAGER
Credential:
Phone: 847-604-0955