The interest in fathers as active parents has increased dramatically over the past 30 years among researchers and the popular press with considerable attention given to direct child-rearing activities; however, mothers continue to be the most likely participants in early intervention (EI) services. Using thematic analysis, we explored providers' perceptions (N = 511) of father involvement in EI regarding (a) the impact of increased father involvement, (b) how father involvement could be increased, and (c) the role of culture in father involvement. Providers believed more involvement was better and identified several ways in which fathers made a difference. Some providers believed it was not in their hands to increase involvement; however, other providers identified systems-level and direct approaches. Providers preponderantly reported culture as a barrier to involvement but there were notable exceptions. We recommend providers receive professional development to support family-centered philosophies and practices that are inclusive of fathers.