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SPEAK A Speech Pathologist works directly with clients who have difficulty communicating, which includes using or understanding written or spoken language.

Background & Experience
I have worked in the public education system for many years with students of all disability levels who have speech and language impairment. I also have experience with the adult population through working in hospital, skilled nursing, home health and adult day care facilities. I evaluate, diagnose and treat disorders of: articulation, voice, fluency, language (written and oral), cognition, and swallowing. My mission is to ensure that ALL who have difficulty communicating have access to high quality intervention and support. I am an independent contractor who has serviced privately paying clients, charter school students, home schooled students, districts needing independent evaluations, home health agencies, and adult day care centers. I am the mother of a child who had special needs in school and I know how daunting the special education process can be. I can provide assistance with IEP document and assessment review, and provide suggestions about what to ask for and expect during upcoming meetings.

08/09/2026

Sign the petition

03/21/2026

When Meghann Mitchell first launched her autism-therapy business in 2019, she took aim at an unlikely source of profit: Indiana’s taxpayer-funded Medicaid program, the public insurance system for the poor.

The bet paid off. In 2023, the state paid Mitchell’s company, Piece by Piece Autism Centers, $29 million to provide therapy to just 84 patients—about $340,000 a child—according to a Wall Street Journal analysis of Medicaid billing records.

That amount surpassed what Indiana Medicaid typically spends in a year treating a newly diagnosed lung-cancer patient or covering a year of nursing-home care.

Piece by Piece became one of Medicaid’s most expensive providers in part by raising its prices, triggering reimbursements as high as $640 an hour for routine therapy that can be administered by workers with little more than a high-school diploma. Its highest payments were more than 10 times higher than the nation’s average.

Mitchell said her company complied with Indiana’s rules and the state never objected to her prices.

“I don’t think Indiana really had any oversight, or not much,” said Mitchell, who bought a series of properties, including a $2.5 million home on Florida’s Sanibel Island and a $600,000 waterfront house on the Tippecanoe River in Indiana, while her company’s Medicaid billings soared.

The business of providing therapy to children with autism has surged in recent years across the U.S., fueled by taxpayer-funded Medicaid payments.

Some companies have found lucrative opportunities to capitalize on the growing need for such care, sometimes outpacing regulators’ oversight, the Journal’s analysis found.

🔗 Read more: https://on.wsj.com/47qhRsq

03/13/2025
02/23/2025
11/10/2023

Whole body listening is not best for all kids… in fact this is true for all children (& adults) as we have a fundamental need to move & it is unrealistic to expect full concentration whilst sitting still for long periods of time ☺️

Credit: Mrs Speechie P

Mrs Speechie P

10/10/2023

Link in comments.

How amazing is technology used for good
08/24/2023

How amazing is technology used for good

Two studies report considerable improvements in technologies designed to help people with facial paralysis to communicate.

08/16/2023

Knowledge

Address

Palmdale, CA

Telephone

+16617551978

Website

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