Pediatric Speech Therapy with Purpose

In-home pediatric speech therapy in Manhattan and Brooklyn, with clear goals, true connection, & support that carries into daily life.

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Take the guesswork out of your child’s communication

In search of a clearer understanding of your child’s speech, language, social communication, feeding, or oral motor development?

We help families better understand their child’s strengths, areas of need, and the most meaningful next steps forward. Through thoughtful observations and evidence-based assessment, we provide clear guidance, actionable recommendations, and support that extends beyond the therapy session.

Many families come to us feeling:

  • In need of a clear communication plan after receiving a diagnosis for their child

  • Concerned that their child has had slow or unclear progress with their current therapy

  • Unsure if their child’s communication is on track

  • Interested in a comprehensive speech, language, pragmatics, oral motor, & feeding profile for their child

  • In need of clear communication, support, and actionable strategies to use in daily life

We believe parents deserve clarity, support, and a deeper understanding of how to help their child thrive.

Advanced, evidence-based care

Our work draws from specialized approaches not commonly offered in traditional therapy settings, including:

  • UCLA’s JASPER (Joint Attention, Symbolic Play, Engagement, and Regulation)

  • UCLA’s JASPER Parent Coaching

  • PROMPT (Prompts for Restructuring Oral Muscular Phonetic Targets)

  • SOS Approach to Feeding

  • AOMT Myofunctional Therapy

  • Lively Letters Literacy Program

  • Behavioral methods and strategies

  • And more

More On Us

  • Is unintelligible or difficult to understand

  • Is not yet talking or is using few words

  • Needs support with play, social skills, or behavior

  • Is diagnosed with autism spectrum disorder

  • Struggles with oral motor skills / does not breathe nasally

  • Has difficulty feeding or eating a variety of foods

We’re a good fit If your child…

Our approach is rooted in your child’s individual needs

Families often come to us wanting a clearer understanding of their child’s goals and progress. Our approach is built around that clarity.

  • We follow your child’s lead to build connection and engagement, all while using structured, evidence-based strategies to target meaningful & specific goals.

  • We look beyond surface-level challenges to support the foundation of communication, including play, engagement, and regulation.

  • You’ll always know what your child is working toward, how progress is being made, and how to support it at home. We provide ongoing check-ins and support throughout the week so that progress doesn’t end when the session does.

  • You’re an active part of the therapy team. We provide guidance and support to best encourage skill generalization, and collaborate closely with your child’s circle of teachers and other service providers.Item description

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What our families are saying

“We are so grateful for our time with Nicole. She is incredibly kind, patient, knowledgeable, and truly cared about our child and our entire family. While she helped tremendously with speech, her support went far beyond that. She worked on so many other important developmental and emotional facets, especially with social speak and advocacy for our child. Nicole truly used an individualized approach for our child’s needs..”

— Erica W.

“Nicole has known our son since he was very young, and over the years she has felt like part of our family. She is kind, patient, knowledgeable, and has such a natural ability to connect with children. She makes our son feel comfortable and supported while helping him build communication in a way that feels playful and meaningful.”

— Eugene F.

“The progress we’ve seen with Nicole has been absolutely incredible. Our son loves her, and has become much more connected and communicative with me since they began working together. She has a unique approach that we haven’t seen in therapy with our son before.”

—  Angela S.

Steps to Starting With Us

1

Complimentary Consultation

We start with a conversation to understand your child, from their interests and strengths, to any speech, language, oral motor, social skills, or feeding concerns. We will discuss what progress you may be wanting to see, and what your family is hoping to get out of speech therapy.

2

Comprehensive Evaluation

Informal measures are insightful, but you deserve a full snapshot of your child’s meeting of developmental milestones through formal testing as well. We use a thoughtful mix of formal and informal assessment (catered to each individual child’s tolerance of testing and skill level) to understand your child as a whole.

3

Personalized therapy Plan

You will receive clear, targeted goals tailored to your child in the areas of speech, language, play & pragmatics, myofunctional skills, and feeding (each if applicable), along with a plan that balances engagement with structure so progress is both meaningful and measurable.

4

Ongoing Therapy and Support

Sessions are engaging and purposeful, with regular caregiver check-ins throughout the week. We always want you to feel comfortable supporting your child’s skill development, and have a passion for parent support — whether it be useful strategies, general tips, or toy recommendations.

Start Step 1