Tumble N' Dots - Pediatric Therapy

Orange County's Premier Multidisciplinary Neurodivergent Affirming Pediatric Clinic

We are a family-centered pediatric therapy clinic in Orange County, CA, providing a comprehensive suite of services for neurodiverse kids, including Occupational Therapy, Speech-Language Therapy, Feeding Therapy, Animal Assisted Therapy, and multiple Social Skills Group Programs.

Supporting Sensory-Motor Development and Mastery Through Movement and Play

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 ages birth to 12 years old. 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.

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 tele-therapy sessions targeting specific speech, language, social, 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 Camps

We offer small group classes, camps, and therapeutic learning programs for children. Our programs focus on nurturing your early learner’s development in a holistic way, supporting their age-appropriate skill level within a wide range of areas.

Our pediatric occupational therapists, speech pathologists, and feeding therapists help children develop the skills necessary to perform everyday activities.  We use play based activities that include creative methods to motivate the children and to ensure their experience at Tumble N’ Dots is successful and enjoyable! 

We collaborate with parents, teachers, care-givers, and physicians to ensure we provide the most effective programs for our clients and that the improvements we see in the clinic setting carry-over to home and school.

Our fully equipped sensory gym along with separate fine motor and tactile rooms allows us to utilize a multitude of treatment modalities including sensory integration therapy, fine and gross motor therapy, handwriting programs, speech therapy, and feeding therapy. We work with children of varying diagnoses, including sensory processing challenges, motor development delays, feeding delays, anxiety, down syndrome, cerebral palsy, and autism.


We cater to the whole family and focus on the child's strengths to help children develop necessary skills so that their transition into adulthood becomes a path to an independent and rewarding life.

Avital Shuster, Clinical Director
Happy Child

Location & Hours

We are located at 16 Technology Drive, Suite # 142, 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 and testimonials we got from families

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!!
Dr. A. L.
Mission Viejo, CA
"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."
M. C.
Diamond Bar, CA
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!
Torrance, CA

Insurance Questions?

Our clinic operates on a private pay basis and is categorized as an out-of-network provider by most health insurance carriers. As such, we do not bill insurance companies directly for our services.

Instead, we offer comprehensive superbills, which you can use to seek potential reimbursement from your health insurance carrier. These superbills provide all the necessary details for you to submit a claim for out-of-network provider coverage.

For guidance on how to seek reimbursement with our superbills, please refer to our guide on out-of-network insurance reimbursement.

Our primary focus remains on delivering exceptional therapeutic interventions, while also providing the necessary documentation to support our clients in seeking possible insurance coverage. We are dedicated to fostering a supportive and nurturing environment for your child’s growth and development.

Occupational Therapy (OT) and Speech Therapy (ST) are covered services under flexible spending account.

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