Pediatric Therapy for Kids in Irvine
A warm, play-based space where your child is understood, supported, and celebrated, exactly as they are
We are an award-winning, family-centered pediatric therapy clinic in Orange County, CA, offering a comprehensive range of services for neurodiverse kids, including Occupational Therapy, Speech-Language Therapy, Feeding Therapy, Animal-Assisted Therapy, Intensive Therapeutic Programs, and Social Skills Group Programs
Supporting Sensory-Motor Development and Mastery Through Movement and Play
Parenting OC Readers' Choice and Editors Choice Winner!
Winner of Best Special Needs Therapy and Best Special Needs Intensive Therapy Camp by Parenting OC readers.
We specialize in comprehensive and intensive Pediatric Occupational Therapy (OT), Speech and Language Therapy (ST), Animal Assisted Therapy (AAT), Feeding Therapy, and social skills group programs for children from birth to age 12.
Our multidisciplinary team of therapists treat children with varying diagnoses, including autism, ADHD, sensory processing disorders, speech delays, developmental delays, anxiety, feeding issues, and more.
Our goal is to help your child reach their full potential.
Our Services
Occupational Therapy
We provide OT services that support and promote the achievement of a child's independence, quality of life, well-being, and overall development.
Speech and Language Therapy
Personalized clinic based and virtual teletherapy sessions targeting specific speech, language, social communication, and academic goals.
Feeding Therapy
We offer support for mealtime routines at home to encourage a positive experience with food. Our facility is equipped with a kitchen and dining area dedicated to feeding therapy.
Social Group Classes and Intensive Therapy
We offer small group classes and intensive therapy during school breaks for children. Our programs focus on nurturing development in a holistic way, supporting their age-appropriate skill level within a wide range of areas.
Why Families Choose Us
Relationship First
We prioritize trust over compliance. Your child leads the play, and we guide the progress.
All Under One Roof
OT, Speech, Feeding, Animal Assisted Therapy, and Groups in one collaborative Irvine clinic.
Neuro-Affirming
We honor unique brains. We build on your child's natural strengths to help them navigate the world with ease.
Location & Hours
We are located at 15265 Alton Parkway, Suite # 140, Irvine, CA 92618
Interested in a clinic tour? schedule a tour here.
Monday: 8:30am – 7pm
Tuesday: 8:30am – 7pm
Wednesday: 8:30am – 7pm
Thursday: 8:30am – 7pm
Friday: 8:30am – 7pm
Saturday: 8:30am – 5pm
Sunday: 10am – 3pm
Appointments Required.
What People Are Saying About Us
Some of the reviews, testimonials, and success stories we got from families
“Tumble-N-Dots is an amazing center! Our autistic daughter attended their summer camp, and we were absolutely blown away by the progress she made. She’s not a morning person, and it’s usually a challenge to get her out of bed for school, but for this program, she hopped up every morning excited to go! The staff is incredibly kind and helpful, and it’s clear they truly care about the children. You can tell this isn’t just a job for them – they are dedicated to supporting the kids in a meaningful way. I 100% recommend Tumble-N-Dots for anyone who has a child that needs a little extra support.”
“We brought our child (my grandson) to TUMBLE N DOTS therapeutic learning program, and it is the absolute best thing ever for a child that has developmental needs, or if they’re developing their speech and language and you want them in a academic environment.
Ms Avital is a visionary that anticipates the needs of both the children and parents! We are so happy to find the perfect place where there is a positive motivating environment. And his instructors Ms Angelina and Ms Adrienne are professional, friendly, warm and welcoming!
If you are looking for an academic setting that is also therapeutic for your child that has speech delay, developmental delay or any kind, of developmental challenges, including ASD this is a safe, happy and healthy place for your child to prepare for K thru 8 grade. And it is not a public school with a ridged environment. Ms Avital’s Tumble N’ Dots is a fabulous place. (They have everything including zip lining in the building)! IT’S SIMPLY AMAZING!!”
“This clinic has done wonders for our lil one with Autism level 2. Their curriculum and commitment
by far is the best compared to all the other clinics we’ve been. They never give up and they find ways to help encourage your child to engage. In such a short amount of time we’ve seen how hard their team works with our child and we wouldn’t trade it for anything. Although Tumble N Dots specialize in OT they also partner with ST to help our munchkin with her speech difficulties.
We love Tumble N Dots and we will be forever grateful for all that they’ve done in helping our child flourish. I personally feel emotional writing this because we found them during a time wherein other clinics and therapist were unable to support our child. They were heaven sent during a very difficult time. Thank you for never giving up and for being there for our family. We wish Ms. Avital and her team nothing but the very best! We love you guys.”
“We took our daughter to Tumble N’ Dots for a feeding therapy evaluation and were impressed immediately by the professionalism, attention to details and the approach taken by the OT, Ms Lichelle Fernando, and the team.
We were able to see noticeable improvements with our daughter within couple of sessions and have seen significant improvements with each subsequent session. The interactive and gentle approach they are taking makes it an activity that our daughter looks forward to attending.
With realistic and practical instructions given to us as parents by Ms Lichelle, we’ve been able to help our daughter continue her exercises at home with ease.
We highly recommend Lichelle and Tumble N’ Dots!”
Common Questions
We are an out-of-network clinic, which means we do not bill insurance companies directly. This allows us to make decisions based on what your child actually needs—not what an insurance adjuster dictates. However, we provide detailed monthly “Superbills” that you can submit to PPO plans for potential reimbursement. Many of our families get a significant portion of their costs covered this way!
For guidance on how to seek reimbursement with our superbills, please refer to our guide on out-of-network insurance reimbursement.
Occupational Therapy (OT) and Speech Therapy (ST) are covered services under a flexible spending account.
Tumble N’ Dots Pediatric Therapy is a licensed outpatient therapy clinic. Our programs are designed and delivered by licensed occupational therapists (OTs) and certified occupational therapy assistants (COTAs) under OT supervision. All services provided are therapeutic in nature, guided by individualized treatment plans, and documented according to professional healthcare standards.
When we aren’t bound by insurance contracts, we have the freedom to treat the whole child. We aren’t forced to stop therapy just because a “quota” was hit, and we can spend more time collaborating with you, teachers, and other specialists. It allows for a higher quality, more personalized level of care that truly fits your family.
Read our In-Network vs. Out-of-Network Therapy: What Parents Need to Know (And Why It Matters for Your Child) for more information.
We know that when you need support, you need it now. Our availability changes weekly based on after-school schedules and therapist caseloads. The best first step is to book a free consult so we can hear your story and give you a realistic timeline for your specific needs.
Absolutely! We are a family-centered clinic. You are the expert on your child, and we love when parents join in to learn strategies they can use at home. Depending on the day and the child’s needs, some sessions might be “kid-only” to build independence, but we always keep you in the loop.
Tactile Defensiveness: Why Some Kids Avoid Certain Textures
Tactile defensiveness happens when everyday touch feels intense or threatening, causing avoidance of textures, messy play, or haircuts. The nervous system is on high alert for touch, so light contact can trigger stress; progress is gradual. It can be part of autism (DSM-5). At home,...
Read GuideBuilding Confidence Through Motor Planning Activities
Strengthening motor planning helps kids picture actions, sequence steps, and adapt, turning small successes into confidence. The text outlines playful activities (mini obstacle paths, treasure-map chores, animal-relay walks, build-and-test challenges, rhythm claps) and strategies (target just-right difficulty, model with pauses, use visuals, celebrate process, reflect)...
Read GuideWhen “Clumsiness” Might Be Something More
Many kids stumble or are clumsy from time to time, but when repeated trips, spills, or coordination difficulties limit play, learning, or confidence for months, underlying motor-skill or sensory processing differences may be at play. Clumsy is not a diagnosis; patterns may indicate developmental coordination...
Read GuideHow to Support Your Child’s Language at Mealtime
Mealtimes are a natural, low-pressure language lab to build vocabulary and social-communication skills. Use a 5-to-1 ratio of comments to questions; establish routines; offer choices; provide 5–10 seconds of wait time; expand and recast what the child says; label sensory words; model gestures and visuals;...
Read GuideHow to Stay Consistent with Home Programs
Consistent, small daily practice is more effective than rare, intense sessions. Integrate home programs into everyday routines, keep sessions short (about five minutes), and make them predictable, visible, and enjoyable. Use strategies like pairing with existing habits, short doses, checklists/reminders, playful activities, a Plan B...
Read GuideHow Cooperative Play Supports Social Development
Cooperative play is more than fun; it trains kids to work toward shared goals, assign roles, and solve problems, building language, empathy, negotiation, self-control, and a sense of belonging. Start with clear, simple games and small groups, model turn-taking, and narrate problem-solving. Therapists use team...
Read Guide