Start where your child is
We watch what your child already does to communicate — leading you by the hand, pointing, vocalizing — and shape it into something more powerful.
Speech isn’t the only path to communication. We build on what your child already does — gestures, sounds, signs, pictures, an AAC device — and expand it. We do not try to “make” your child speak.
If your child is nonspeaking, the urgent question isn’t “when will they talk?” It’s “how can they tell us what they need, right now?” That’s where we start.
Research from the American Speech-Language-Hearing Association is clear: using AAC and sign does not slow down spoken language — it usually supports it.
We watch what your child already does to communicate — leading you by the hand, pointing, vocalizing — and shape it into something more powerful.
Speech, sign, pictures, an AAC app on a tablet — we use whatever combination helps your child be understood today, not in six months.
When a child uses any method to ask for juice and gets juice, communication becomes powerful. That’s the loop we build, over and over.
If your child already has a speech-language pathologist, we coordinate. Same vocabulary, same device, same icon set — no contradictions across providers.
Many families see meltdowns drop within weeks once a child has a reliable way to request, refuse, and comment. Communication reduces behavior.
Whatever system we use in session, we teach you to use at home. Communication has to travel beyond the therapy room or it won’t stick.
There is no single “right” system. The right one is the one your child uses, willingly, to tell you something. Here’s how we evaluate each.
Augmentative and Alternative Communication runs on a dedicated device or an iPad app like Proloquo2Go, TouchChat, or LAMP Words for Life. Your child taps icons; the device speaks. We model the device constantly — not just when we want them to ask for something — so they learn the whole language, not just request buttons.
The Picture Exchange Communication System teaches your child to hand a picture card to another person to make a request. It starts with one picture and one item, then grows into full sentence strips. It’s low-tech, no battery, and powerful because it builds the social side of communication — you have to give the card to someone.
Sign is portable, always available, and faster to deliver than a device tap. We typically start with 5–10 high-value signs — more, all done, help, eat, drink, open — and add as the child uses them. We don’t require perfect form; an approximation that’s recognizable and consistent counts as a real word.
For children who are starting to vocalize, we use Skinner’s Verbal Behavior framework — teaching mands (requests), tacts (labels), echoics (sound imitations), and intraverbals (back-and-forth answers) as separate skills. We pair vocal attempts with reinforcement, never withhold what a child needs because they didn’t say it “correctly.”
Most kids we work with use two or more of these at the same time. A child might sign “more,” tap “cookie” on a device, and vocalize “uh!” — and all three count. That’s total communication, and it’s the standard we aim for.
That’s the moment families remember — the first real request, the first “all done,” the first time their child stopped crying because they had a word instead. We’d love to help you get there.
Most families want to know: what will we see? Here’s the honest pacing for a nonspeaking child starting ABA with us.
We don’t demand anything at first. Your child’s BCBA and therapist learn what they love, what they avoid, and what they already do to communicate. A communication assessment (often the VB-MAPP) maps current skills.
We pick the communication path with the highest odds of success and we drill it — favorite foods, favorite toys, “help,” “all done.” The goal isn’t variety yet; it’s reliability. One word, used a hundred times a day, beats fifty words used once.
New vocabulary, two-icon or two-sign combinations, and parent coaching at home. We start to see communication outside the therapy room — with siblings, with grandparents, at the grocery store. That’s when it’s real.
The opposite, in study after study. Children who use AAC are more likely to develop spoken language — not less — because the device gives them a successful experience of communicating that motivates more attempts.
Toddlers can absolutely use AAC. We’ve introduced devices as young as two. The earlier a child has any reliable way to communicate, the less frustration shapes their personality.
Bilingual kids do fine. Hearing kids who sign do fine. Adding sign doesn’t crowd out speech — it gives her something to use until speech catches up.
Not here. We don’t withhold a snack until a child says the word “snack.” If he signs it, taps it on a device, or hands us the picture, that’s communication and we honor it. Speech is a path, not a finish line.
Yes — ABA is one of the few therapies that works directly on functional communication for nonspeaking children, no matter where they’re starting. We pair with a speech-language pathologist whenever possible, and we coordinate so we’re reinforcing the same words and the same device.
We start with a communication assessment — usually the VB-MAPP — plus interviews with you about what your child does at home. We look at fine motor, imitation, attention to people versus objects, and what already gets results. The system we recommend is the one your child can use successfully today and grow into tomorrow. Most kids end up using two or more side-by-side.
Beautifully. SLPs often work in 30–60 minute sessions and build the system; ABA gives you 15–30 hours a week of structured practice using that exact system in real-life contexts. We ask for the SLP’s notes, mirror their vocabulary, and meet with them when they’re willing. We never overwrite their work.
No. Modern ABA teaches communication in natural environments — on the floor, during play, at snack time. Eye contact isn’t a goal we drill for its own sake; it’s a byproduct of caring about the person you’re talking to, which we build through reinforcement, not pressure.
Honest answer: it varies. Many families see a first reliable request — sign, picture, or icon — within 4 to 8 weeks. Carryover at home usually follows by month three once we’ve trained you. Spoken-word progress, when it comes, is on its own timeline. We track everything in the parent portal so you see exactly what’s changing.
Tell us a bit about your child and we’ll set up a free consult with a BCBA. We’ll talk through what you’re seeing, what’s already been tried, and what a communication-first plan would look like.
Mon–Fri, 8:00 AM – 5:00 PM