Provider Demographics
NPI:1508314584
Name:THE APPLETREE CONNECTION
Entity Type:Organization
Organization Name:THE APPLETREE CONNECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, BOARD CERTIFIED BEHAVIOR ANA
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELLER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:407-380-7007
Mailing Address - Street 1:2605 CORBYTON CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7517
Mailing Address - Country:US
Mailing Address - Phone:407-380-7007
Mailing Address - Fax:
Practice Address - Street 1:2605 CORBYTON CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7517
Practice Address - Country:US
Practice Address - Phone:407-380-7007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251300000XAgenciesLocal Education Agency (LEA)
No251X00000XAgenciesSupports Brokerage
No252Y00000XAgenciesEarly Intervention Provider Agency