Tracy’s experience includes providing Speech, Language and Swallowing services for people of all ages in a variety of settings such as a private practice, client homes, daycares, Head Start, Public Schools, TEACCH, Nursing Homes and a rural community hospital. She has provided therapy to individuals with Aphasia, Apraxia, Autism, Cerebral Palsy, Down Syndrome, Stroke, TBI, Dysphagia, Hearing impairment, Cochlear implant, Working with Auditory Neuropathy, Auditory brain stem implant, Cleft palate, CHARGE, Hydrocephalus, Voice disorders, Speech and Language delays to name a few. She has a knowledge base for several therapeutic intervention strategies including Beckman Oral Motor Approach, Assistive Technology, Auditory Verbal Therapy, Auditory Oral Therapy, ABA Verbal Behavior, entry level sign language. Tracy has her CCC from ASHA and is licensed in North Carolina. Some career highlights include developing an on site Speech, Language and Swallowing program at a rural North Carolina hospital that serviced children and adults in the surrounding communities. Another was establishing Capitol City Speech Therapy. CCST provides therapy to adults and children in and around the Raleigh area. It was established in 2004. She also attends several continuing education programs each year to keep her evaluation and treatment skills current. Tracy is Infant Toddler certified and is in the process of becoming AV certified.

Michelle Perahia, MA CCC-SLP - Clinical Supervisor
State University of New York at New Paltz, BA in Speech and Hearing Handicapped Education
New York University, MA in Speech Language Pathology
North Carolina Licensed
NY State License in Speech Pathology
NY State Permanent Certificate, Teacher of Speech Hearing Handicapped Education
Member of ASHA (American Speech-Language and Hearing Association)
ASHA Certificate of Clinical Competence, 2006
Special Interest Division 9, Hearing & Hearing Disorders in Childhood, 2006

Michelle has experience treating special needs children from preschool through 12th grade with PDD, phonological delays, apraxia, and oral motor weakness. Her experience also includes evaluating and treating special needs children ranging from newborn to five years of age with Autism, Down’s Syndrome, CAPD, Cerebral Palsy, hearing impairments, and/or expressive language delays.  She has also worked with three to five years of age special needs children with Asperger’s, ADHD, and/or speech-language delays. Michelle has also provided auditory training therapy to adults and evaluated children of all ages with cochlear implants. She has worked with sign language, AAC devices and the Sara Rosenfeld Johnson whistle program. Over the past several years, Michelle has taken a number of continuing education classes in auditory, hard of hearing and cochlear implant therapies.

Caroline Harrall, MA CCC-SLP
North Carolina State University, BA in Communication Disorders
Appalachian State University, MA in Speech Pathology
North Carolina Licensed
Member of ASHA (American Speech-Language Hearing Association)
ASHA Certificate in Clinical Competence

Caroline has experience treating clients of all age groups. She has worked in a diversity of settings. With focus on the pediatric population, she has provided therapy in public schools, daycares, preschools, Head Starts, client homes, and private practice. Caroline has treated pediatric clients with articulation/phonology disorders, language delays, fluency disorders, auditory processing disorders, Down Syndrome, and Autism. With focus on the adult population, she has provided therapy in nursing homes, developmental centers, and private practice. She has treated adult clients with fluency disorders, articulation disorders, cognitive difficulties, and swallowing disorders. She continues to assert that maximum potential can be achieved when there is positive family/caregiver support for her clients!

Quinn Harvey, MA CCC-SLP
State University of New York College at Geneseo, BS in Speech and Hearing Handicapped
State University of New York College at Geneseo, MA in Speech Pathology
North Carolina Licensed
NY State License in Speech-Language Pathology
NY State Initial Certificate – Teacher of Speech and Hearing Handicapped
Member of ASHA (American Speech-Language Hearing Association)
ASHA Certificate of Clinical Competence in Speech-Language Pathology

Quinn has experience providing therapy to children with speech and language disorders in the areas of articulation/phonology, auditory processing, fluency, language, and pragmatics.  She has worked with children ages 2-5 with apraxia, assistive technology devices, Autism Spectrum Disorder, cognitive delays/deficits, Down Syndrome, emotional/behavioral disorders, Pervasive Developmental Disorder, mixed developmental delays, and sensory processing/integration disorders.  Quinn has experience evaluating and treating children in early intervention programs, preschool programs, speech and hearing clinics, and the public schools.  She has also worked with adults, providing speech and language therapy to individuals with various cognitive and physical disabilities, including Cerebral Palsy, Down Syndrome, and Traumatic Brain Injury.   Quinn values the importance of providing therapy that is highly individualized to meet the needs of each client and his or her family.

April Nelson, M.Ed CCC-SLP
University of Massachusetts Amherst, BS in Communication Disorders
University of Georgia, M.Ed. in Speech Language Pathology
North Carolina Licensed
Member of ASHA (American Speech-Language and Hearing Association)
ASHA Certificate of Clinical Competence, 2010

April has experience in treating clients of all age groups, with a special interest in the pediatric population (birth-high school).  She has worked in a variety of settings, including private practice, public schools, Head Start, client homes, and daycares.  She has provided therapy to individuals with autism, Down Syndrome, Cerebral Palsy, Hydrocephalus, TBI, Velo-Cardio-Facial Syndrome, Pierre Robin Syndrome, Dysphagia, Cochlear Implant, Hearing Impairment, Voice Disorders, Fluency Disorders, Reading Deficits, and a variety of other speech and language disorders.  She has worked with a variety of AAC devices.  April believes in providing research based therapy and developing treatment programs along with the client and family, to establish a program with optimum success.  

Tonia Brown, MA CCC-SLP
Surry Community College, AA in Liberal Arts
University of North Carolina at Greensboro, BS in Communication Sciences and Disorders
University of North Carolina at Greensboro, MA in Speech-Language Pathology
ASHA Licensure (American Speech-Language and Hearing Association)
North Carolina Teaching License

Tonia has worked many years as a speech-language pathologist, most recently serving as the lead preschool speech therapist in a local school district. She has worked with all ages from preschoolers to elder adults and has served in schools, daycares, preschools, and nursing homes. She finds joy in all her clients, but has found her passion in helping children find their voice.  She has gained much experience and knowledge in the areas of phonological and articulation disorders, apraxia, Autism, and other pervasive developmental delays.  Tonia is trained in ABA Therapy and has understanding of the Son-Rise Program. With a good basis of knowledge for feeding therapy and auditory verbal therapy, she plans to continue increasing her skills in these areas by participating in continuing education classes.  Tonia strives to build verbal language in non-verbal children and can assist them in their non-verbal expressive language development along the way. She has a basic knowledge of sign language and has worked with children with many various needs, including ADHD, behavioral problems, cerebral palsy, cleft palate and other velopharyngeal repairs, and Down’s syndrome. Tonia continually seeks out relevant coursework, research, and colleagues’ expertise to find the right solutions to serve each child’s individual needs.

Julie Collins, MS-Ed, CCC-SLP
State University of New York at Cortland, BS in Speech and Hearing Handicapped
The College of Saint Rose, Albany NY, MS-Ed in Communication Disorders
NY State Permanent Certification, Teacher of Speech and Hearing Handicapped
North Carolina Board of Examiners License
North Carolina Standard Professional II License Department of Public Instruction
Member of ASHA
ASHA Certificate of Clinical Competence, 1997

Julie has 16 years of diverse professional experience providing therapy, evaluation, and consultative services in variety of settings which include homes, daycares, preschools, and public schools. She has experience treating children ages 3-21, who experience delays in the areas of articulation, phonology, apraxia, language, and fluency.  Julie has worked with children with delays associated with Autism Spectrum Disorder, Down’s syndrome, Cerebral Palsy, ADD/ADHD, Sensory Integration Disorders, as well as Specific Learning Disabilities.  She is trained and well versed in use of basic sign language, assistive technology devices, and oral motor treatment. Julie values the importance of working with each child, their family and other service providers as a team in order to optimize success.

Heather Gavette MA CCC-SLP
State University of New York College at Geneseo, BS in Speech and Hearing Handicapped
University of North Carolina at Greensboro, MA in Speech-Language Pathology
North Carolina Licensed
North Carolina Department of Public Instruction License
Member of ASHA (American Speech-Language and Hearing Association)

Heather has experience evaluating and providing therapy to children with speech and language disorders.  She has experience in the areas of articulation/phonology, language, fluency and pragmatic language.  Heather has worked with children with apraxia, Autism Spectrum Disorder, Down Syndrome and developmental delay within a variety of settings (daycares/preschools, client homes and the public schools).  The majority of her experience includes working with children in early intervention programs and preschool programs.  She regularly attends continuing education programs to learn new information about evaluating and treating communication disorders.  Heather strives to educate families and include them in the therapy process. 

Meagan Jackson BA, CBRS, ITFS-P
University of North Carolina at Wilmington, BA in Education of Young Children

Meagan has experience working with children birth to age five with varying developmental needs.  Through her hands-on field experiences she has worked with children with Autism, language delays, behavioral disorders, and Cerebral Palsy creating fun and encouraging activities to help each child reach their goals.  Her experience also includes coursework in a NICU follow-up clinic assisting families with their premature infants.  Meagan understands the importance of home visits and knows that parents are their child’s first teachers.  Through a collaborative effort, she hopes she can be of help to families and their children. 

Jessica Kelly BS SLP/A, MA, CBRS, ITFS
Loyola College in Maryland, BA in Speech-Language Pathology / Audiology
Dean’s List, All-Academic Athletic Team, Cum Laude
Chestnut Hill College, MA in Holistic Spirituality
Sign Language Training: Montgomery County Community College, Wake Technical Community College – American Sign Language, Gallaudet University and Private Tutoring ASL
Certified Presenter in the Sign2Me® Presenters’ Network

Jessica is the owner of Signs of Learning, a company which teaches American Sign Language to babies, young children and their care givers. She has been a nanny / care giver and taught the children and parents ASL. Her experience also includes working at a non-profit organization which offers social and spiritual support to adults with physical disabilities. Jessica has volunteered at numerous camps, non-profits and other religious and academic organizations.

Patricia Leveille BS, CBRS, ITFS-P
Meredith College, Raleigh, NC, BS in Child Development
University Of North Carolina, Greensboro, BK Teaching License (ongoing)
North Carolina Early Educators Certification – Level 11
Member of the National Association for the Education of Young Children
Member of Kappa Omicron Nu Honor Society

As a teacher, Patti has worked with children of all ages.  She taught at the SAS Montessori School for four years, one year with toddlers and three years with infants.   While searching for a preschool program for her youngest child, she decided to create her own school.  Preschool Playhouse opened in 2006 and for four years Patti was director, teacher, and curriculum creator.  Patti has extensive personal experience working with children on the Autism Spectrum. Her son, Jack, and her nephew were both diagnosed with Autism at a young age.  She has a strong background in inclusive environments and a good vocabulary of sign language. Patti is always looking for new and creative ways to help the children she teaches. She has been to seminars and workshops at TEACCH and is currently working towards her B-K teaching license through classes at UNCG.  Patti's personal experience as a teacher and the mother of a child with special needs makes her an asset to the family.  She values the partnership between service providers and the family.  She understands the importance of advocating for the child and approaches each new partnership with respect and sensitivity. 

Ellen M. Macri, BS, CBRS, ITFS-P
Saint Bonaventure Univenture, BS in Elementary Education K-6

Ellen has a long history of working professionally and personally in the fields of education, child development, behavioral management, speech/language delays and play therapy. She is a teacher, an advocate and an understanding member of the special needs community who is held in high regard by both the medical and educational community both in New York State and North Carolina. Her past responsibilities and training are in the fields of Autism, ADHD, Neurological impairments, Sensory processing disorders/integration techniques and behavioral interventions. Ellen believes in working with a "team" concept to ensure the child's maximum potential and continual growth. The team starts with the family and branches out to working in conjunction with all therapists involved in the child's developmental profile.

In addition to Ellen's educational attributes she is a part time teacher at a center based Montessori pre-school in the community and is a special needs religion teacher. She also volunteers her services with various special needs social programs within the Raleigh area. Ellen is a mother of three children; two of whom are neurologically impaired. Ellen is continually taking ongoing education courses and attending seminars to best serve her clientele with the newest and most current techniques available. She will tirelessly work in the best interest of what her client requires. 

AnnMarie Marchese MS CCC-SLP
The University of Rhode Island, BS  in Communicative Disorders
The University of Rhode Island, MS in Speech-Language Pathology
North Carolina Licensed
Member of ASHA (American Speech-Language and Hearing Association)

AnnMarie has experience working with both children and adults with communicative disorders.   With children, she has many years of experience evaluating and treating  language delays, articulation/phonological disorders, apraxia, dysarthria, fluency disorders, voice disorders, oral-motor deficiencies and dysphagia.  The following are some medical diagnoses with which she has experience:  Autism, PDD/NOS, Down Syndrome, Cerebral Palsy, brain injury, C.H.A.R.G.E. Syndrome, Prader-Willi Syndrome, Mental Retardation and Shaken Baby Syndrome.  She also has experience working with adults who have speech, language or swallowing impairments resulting from a stroke, brain injury, anoxic episode, voice disorder, and fluency disorder.  She has also worked closely with skilled nursing facility staff and residents to develop functional maintenance programs to help people with memory problems and safe swallowing programs to compensate for dysphagia.

Nora Roehm, M.Ed. ITFS
Loyola University of Chicago, BS in Applied Psychology
Erikson Institute, MS in Early Childhood Development
Specialized study in Infant/Early Childhood Mental Health

She has experience with a vast array of children with special needs, including Autism, Apraxia, Down Syndrome, emotional/behavioral disorders, Prematurity, dysphagia, Cerebral Palsy, PVL, Chiari, Sensory Processing Disorders, Spina Bifida, Muscular Dystrophy, Cystic Fibrosis, Cleft Palate, speech disorders, childhood mental health issues and genetic disorders (Hurler's Syndrome, Rett Syndrome, Noonan's Syndrome, Fragile X, Cri du Chat, Angelman Syndrome, Klippel Feil Syndrome, Prader Willi, Dandy Walker, agenesis of the corpus collosum), that has taken her around the world. However, she has been working in the Raleigh area since 1999. Nora works with children at their home, child care center, or in any community setting that is part of a child's day. She works closely with parents to help them learn what they can do every day to ensure their child reaches his/her full potential.

In addition to being a Developmental Therapist, Nora is also a family advocate and Inclusion Specialist. She works with programs in the community (child care, preschool, dance, etc.) to educate them about children with special needs and how they can fully participate in their local programs. She helps others to see all that a child can do even if their body doesn't work like everyone else. Her post graduate training has focused on Sensory Processing and Early Childhood Mental Heath issues. However she continues to expand her knowledge base with training in brain research, the role of nutrition in development, how domestic violence/trauma affects development, behavior management, autism spectrum disorders, & genetic disorders. She has presented workshops on child development & inclusion at National Smart Start conferences & National Association for the Education of Young Children conferences as well as at child care centers around the Raleigh area.

Nora has experienced the the world of special needs from both a personal & professional perspective. Her brother has a cognitive impairment and she has two nephews with Muscular Dystrophy. She lives in Fuquay Varina with her husband and son.