=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699675223
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | APEX PEDIATRIC THERAPY NORTH CAROLINA, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/07/2026
-----------------------------------------------------
Last Update Date | 11/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3824 BARRETT DR STE 307
-----------------------------------------------------
City | RALEIGH
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27609-7220
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-604-0955
-----------------------------------------------------
Fax | 847-589-5875
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 243 RED COACH LN
-----------------------------------------------------
City | NORTHBROOK
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60062-1532
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-376-9191
-----------------------------------------------------
Fax | 847-589-5875
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | VEENA ANAND
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 847-376-9191
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------