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  <url>
    <loc>https://www.speechtherapyla.com/about-us</loc>
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    <lastmod>2024-07-31</lastmod>
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      <image:title>About Us</image:title>
      <image:caption>Alexis Parikh, M.A., CCC-SLP is a licensed Pediatric Speech-Language Pathologist who is board certified with the American Speech-Language Hearing Association. Alexis is deeply passionate about her work as a Speech Therapist as she believes that a human being’s ability to communicate and form relationships with others is central to one’s quality of life. She is committed to empowering her clients to become confident communicators who thrive in their relationships with friends, family, and loved ones. Alexis treats children from a holistic approach considering each child’s unique social-emotional, sensory, developmental, cultural, familial, and communication profile. These components are integral to each client’s treatment plan and therapeutic services. As a trained provider, Alexis utilizes the Floortime program and philosophy to assist in supporting children from a holistic perspective. Alexis uses this program with many of her clients as a comprehensive framework to promote human development. ‘Floortime highlights the power of relationships and emotional connections to fuel development.’ Her special areas of interest and expertise are in relationship-based approaches to human development, Alternative Augmentative Communication, Early Intervention, Complex Communication needs, Motor Speech disorders (e.g., Childhood apraxia of Speech, Dysarthria), and parent coaching/training. Alexis has extensive training and experience in selection and implementation of Alternative Augmentative Communication (AAC) systems for people with complex communication needs. She is skilled in the implementation of different AAC systems and access methods (e.g., eye gaze, two-step switch scanning, partner assisted scanning, direct select) including but not limited to low-tech systems such as Pragmatic Organisation Dynamic Display (PODD), and many high tech systems and programs (i.e., LAMP, Unity, Tobii Snap +Core, TouchChat). She thoughtfully considers each child’s unique strengths when selecting an AAC system, trialing systems, and training caregivers and families. Multiple approaches are used when assessing and treating speech disorders (i.e., Childhood Apraxia of Speech, Dysarthria, Phonological or Articulation disorders) including PROMPT (PROMPTS for Restructuring Oral Muscular Phonetic Targets), and DTTC (Dynamic Temporal Tactile Cueing). Therapy for motor speech disorders is individualized, uses motor planning principles, includes a parent training component, and ensures generalization of skills to the child’s everyday life. Alexis is passionate about using HANEN programs including ‘More Than Words’ and ‘It Takes two to Talk’ to support parents and families. These programs are used to empower parents in fostering their child’s interaction skills, language and social development. These programs are used to support young children 0-5 in early intervention programs. Programs are ALWAYS individualized to build on each child’s strengths! Alexis has received training in the following programs or techniques: Beckman Oral Motor Trained Attendee at Apraxia Kids National Conference: 2021 DTTC (Dynamic Temporal and Tactile Cueing) Floortime 201: Basic DIR Floortime Provider HANEN: It takes Two to Talk HANEN: More than Words HANEN: Learning Language and Loving It Oral Placement Therapy-TalkTools PODD (Pragmatic Organisation Dynamic Display) AllAccess: Exploring the Possibilities of Alternative Access and AAC PROMPT (Prompts for Restructuring Oral Muscular Phonetic Targets) trained Sequential Oral Sensory Feeding approach</image:caption>
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    <lastmod>2026-01-08</lastmod>
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    <lastmod>2019-10-12</lastmod>
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    <lastmod>2020-10-08</lastmod>
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    <loc>https://www.speechtherapyla.com/services-and-pricing</loc>
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    <lastmod>2020-10-12</lastmod>
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    <lastmod>2020-10-12</lastmod>
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      <image:title>New Page</image:title>
      <image:caption>Yuki is the best cat in the world.</image:caption>
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  <url>
    <loc>https://www.speechtherapyla.com/intro</loc>
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    <lastmod>2020-10-12</lastmod>
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      <image:title>Intro</image:title>
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  </url>
  <url>
    <loc>https://www.speechtherapyla.com/new-page-1</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2023-03-29</lastmod>
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      <image:title>Specialties</image:title>
      <image:caption>EARLY INTERVENTION/HANEN PROGRAMS: Early intervention programs provide treatment for young children ages 0-3. Treatment is individualized based on each child’s strengths and needs. In early intervention, we focus on building interaction skills, joint attention, pre-linguistic skills, play skills, social language, imitation, and expressive/receptive language skills. If appropriate for your child, we may also work on articulation or motor speech skills. During early intervention services, a strong emphasis is placed on collaboration with each child’s family members and any other teachers/therapists working with the young child. For this age range, therapy is always play-based, fun &amp; animated, and typically child led. HANEN programs used include ‘It takes Two to Talk’ and ‘More than Words’ are often used in our early intervention program. ‘It takes Two to Talk’ is specifically designed for parents of children who are late talkers while ‘More Than Words’ is designed for parents of children with social communication challenges. We provide the HANEN training programs on a 1:1 basis and within parent groups. These programs include direct therapy between SLP and the child as well as a parent training component in which practice and feedback is central. In these programs parents gain valuable resources to build their children’s interaction and language skills within everyday routines and play! You can learn more about the HANEN Center and programs here: www.hanen.org</image:caption>
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      <image:title>Specialties</image:title>
      <image:caption>CHILDHOOD APRAXIA OF SPEECH “Childhood apraxia of speech (CAS) is a motor speech disorder that makes it hard for children to speak. Children with the diagnosis of apraxia of speech generally have a good understanding of language and know what they want to say. However, they have difficulty learning or carrying out the complex movements that underlie speech.” (via: https://www.apraxia-kids.org/) We provide the following services in treating Childhood Apraxia of Speech: Consultation, Assessment, Collaboration with other professionals and family members, and treatment. Treatment is often recommended for shorter duration per session (30-45 minutes) and increased frequency per week (2-3+ times weekly). Each treatment plan is individualized to the needs of the client and client’s family. Treatment focuses on increasing meaningful verbal words or approximations, teaching multi-modal communication (i.e., verbal speech, vocalizations, gestures, sign language, AAC), improving oral movement gestures between sounds and syllables, and systematically improving &amp; shaping verbal speech production using a hierarchy. Parents/caregivers and family are an important part of the treatment process to translate skills learned in therapy to the child’s everyday life. Frequent and systematic practice is essential to building verbal speech skills at home. Techniques used by the SLP include PROMPT (Prompts for Restructuring Oral Muscular Phonetic Targets) and DTTC (Dynamic Temporal Tactile Cueing). You can learn more about PROMPT here: https://promptinstitute.com/ You can learn more about DTTC here: https://www.childapraxiatreatment.org/dttc/</image:caption>
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      <image:title>Specialties</image:title>
      <image:caption>Alternative Augmentative Communication:</image:caption>
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      <image:title>Specialties</image:title>
      <image:caption>D.I.R FLOORTIME Floortime is a a therapeutic model that is used to promote an individual's development through a respectful, playful, joyful, and engaging process. It uses the power of relationships and human connections to promote engagement, communication, self-advocacy, and thinking.   It is an evidence-based approach to promoting human development that is used with children, young adults, and even adults (particularly in autistic children, young adults, and adults). https://www.icdl.com/dir/floortime</image:caption>
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  </url>
  <url>
    <loc>https://www.speechtherapyla.com/reviews</loc>
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    <priority>0.75</priority>
    <lastmod>2022-04-13</lastmod>
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      <image:title>Parent Testimonials</image:title>
      <image:caption>“We are so appreciative and happy with Mrs. Alexis Macias. She is a wonderful person who is super humble and down to earth. Our son absolutely loves her! He looks forward to play-based speech therapy with her via telehealth. He's only 2 years old and loves the fun they have together. She really makes speech therapy a whole lot of fun. Our son started making progress with his speech and has a couple of words to communicate his wants and needs. She slowly taught him sign language signs, sounds, and that all evolved to functional communication for him. It has made a world of difference between when he had 0 communication besides crying/tantrumming to the now - a confident toddler who communicates his wants. We absolutely love her!! We give her a 100 stars and definitely recommend her. Thanks Alexis, for all your wonderful work with our little man.” M’s Parents</image:caption>
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      <image:title>Parent Testimonials</image:title>
      <image:caption>“When my Son was 2, I felt his speech was a little behind. I received an in depth analysis from Alexis and she explained where he was at and where the average 2 year old should be. I was shocked that even after just 1 session my Son was saying 3 new words he had never said before! Alexis gave me tools to use, so I could become a teacher as well. He was only saying "yes" or "no" mostly and it was because I was asking him "yes" or "no" questions only. She taught me to do/say patterns that he could finish. For example, I would say "up" and throw him up, then "down" when I brought him down. I did this several times and instead of saying "up", I paused and he finished the verbal pattern and yelled "up!". I was ecstatic and now that he's up to speed on speech, he is a little over 2.5 now and we took a few months off, but will start up again because he needs help with pronunciation. Alexis is patient, extremely knowledgeable in her field and most importantly, she not only works with your child, she will give you the tools you need to help your child. She brings all her medical and technical knowledge to life with fun games. I am so grateful for her service and for making my Son's educational foundation strong enough to build on.” J’s Mommy</image:caption>
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      <image:title>Parent Testimonials</image:title>
      <image:caption>“Alexis is the best! She has been working with my 3 year old son for the last year and a half. When he first started speech therapy, he had not one word. Since his sessions with Alexis, he's been making amazing strides and making so much progress while working with her. She also introduced us to AAC devices, letting us know that it would be extremely beneficial to our son. The joy that he has to be able to communicate with us using this device has been an extreme blessing. Alexis has definitely been instrumental in helping my son with his vocabulary growth and he's not as frustrated as much due to lack of communication. My son absolutely adores her as well and he always looks forward to sessions with her. During COVID where everyone was turning to teletherapy to do speech sessions, I was nervous about my son regressing with the lack of one on one sessions. However, every session, Alexis worked tirelessly to keep my child engaged and focused. She is inventive, patient and so knowledgeable. She also spent so much time with me doing parent education and giving me the tools necessary so that I could have the skills to help him while at home. Online or one-on-one, she gives it her all. If you need an assessment for your child who has a delay in speech, I would definitely highly recommend giving Alexis a call! Scheduling with her is also so easy as she is always very flexible and accommodating. Thanks, Alexis for being a continuing source of support for my son.” O’s Mommy</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5bf9cb472487fd1f1fd9272a/1603685046470-ETFBM6BK5FY1H4YA9ZUW/image-asset.jpeg</image:loc>
      <image:title>Parent Testimonials</image:title>
      <image:caption>One of my favorite moments every week has been seeing my son's face light up when Alexis walks through the door. In a very short time she has built a strong connection with him. She is a master of coming up with engaging activities that generate a lively back and forth between them and ultimately motivate my son to speak. Her energy, creativity, and empathy are wonderful. Alexis is also fantastic at drawing me and my husband into the speech therapy sessions and teaching us key principles and strategies for engagement. She is just as patient with us as she is with our son (very much needed when you are an overwhelmed parent), and has been very effective at getting us to transform how we interact with our kid. In a bit over six months, my son has made a noticeable progress against his speech goals and I am so grateful for Alexis' commitment to his wellbeing and development. A’s Mommy</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.speechtherapyla.com/new-page-3</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2023-03-29</lastmod>
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