TOTS Training® Directory

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ids First Pediatric Therapies, LLC is an outpatient pediatric clinic in Livingston, TN. We are dedicated to providing services to our smaller and underserved surrounding communities. We offer physical therapy, occupational therapy, and speech therapy services for children and adolescents. Our therapists are highly skilled with years of experience in evaluating and treating a multitude of diagnoses within the pediatric population while making sure it's an enjoyable experience for everyone!

Taylor Darbonne is a licensed/certified speech-language pathologist at Aspire Behavioral Health Center. Our mission is to provide the highest quality of evidenced based speech, language, and feeding services to the pediatric population of Lafayette, Louisiana, and the surrounding areas. We provide screening, evaluation, consultation, and treatment for expressive-receptive language deficits, articulation disorders, feeding disorders, and related developmental disorders. We believe each child is unique and strive to create individualized treatment in a fun, engaging environment. Our therapists are committed to continuous learning in order to implement innovative, evidence-based techniques to help your child reach his or her maximum potential. Through collaboration with multi-disciplinary specialists, our goal is to provide treatment that will allow your child to become socially, emotionally, and developmentally more successful.

Taylor Grantham, M.Ed., CCC-SLP is the lead speech-language pathologist at Rolling Plains Memorial Hospital, providing acute care, outpatient, and home health services to the population of Nolan County and surrounding areas. Taylor treats both pediatrics and adults and has special interests in pediatric oral motor, feeding, and speech sound disorders and tethered oral tissue assessment and treatment. She is a TOTS Trained Professional and has also received trainings in orofacial myofunctional disorders. Special care is taken when choosing a team approach for her patients and includes the process of doctor/dentist referral, full evaluation of concerns and symptoms, creation of plan of care, collaboration with medical team, assisting families find appropriate providers as needed, and treatment for oral motor, feeding, swallowing, communication, and breathing purposes.

Lead Occupational Therapist at IvyRehab for Kids Western Hills location
Lead Feeding Therapist at IvyRehab for Kids Western Hills location
AOTA Board Certification in Pediatrics
Infant Primitive Reflex Integration Certification
AOTA Certified in Early Identification


I specialize in early intervention ages (birth-3years), pre and post frenectomy work, bottle feeding/breastfeeding, weaning, table food sensitivities, and medically complex patients (including but not limited too patients with trachs, g-tube, visually impaired, Down syndrome, Autism, Cerebral Palsy, and genetic disorders).

RN, IBCLC, FILCA

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Tiffany is a pediatric speech pathologist with 14 years of experience. She has specialized training in orofacial myofunctional disorders (OMD), tethered oral tissues (TOTS), prelinguistic and early language, speech sound disorders, and aural habilitation/rehabilitation.

Tiffany Steele is an ASHA (American Speech-Language Hearing Association) certified and Kentucky licensed Speech-Language Pathologist. She is a Certified Orofacial Myologist (COM®) through The International Association of Orofacial Myology. Tiffany is an International Board Certified Lactation Consultant (IBCLC®) and a Certified Infant Massage Instructor-2 (CIMI®-2). As a TOTs trained therapist, she works closely with a care team to address oral function as it relates to tethered oral tissues. Tiffany’s specialized trainings include: SOFFI (Supporting Oral Feeding in Fragile Infants), GoMAP (Guided Oral Movements with Active Patterning), Sequential Oral Sensorimotor (SOS) approach to feeding, Mealtime Miseries, & Food Chaining,

Tiffany is employed by the Kids Can Do Pediatric Therapy Center, a service of Ephraim McDowell Health, lin Danville, KY. Servicing children from birth to age 21, the outpatient PTs, OTs, and SLPs at Kids Can Do are trained/certified in:
-tethered oral tissues
-lactation
-infant massage
-pediatric pelvic floor
-reflex integration therapy
-DIR floortime
-Tummy Time Method
-plagiocephaly/torticollis

Tiffany holds a Certificate of Clinical Competence in Speech-Language Pathology from the American Speech-Language-Hearing Association (ASHA), and is a licensed SLP in the state of South Dakota.

She has completed countless hours of post-graduate certification courses in the specialty areas of craniofacial disorders, orofacial myofunctional disorders, tethered oral tissues/tongue ties, manual therapy for the orofacial complex, oral motor dysfunction and skills, breathing function, and orofacial pain and TMD (temporomandibular joint disorder), training with a variety of leading organizations and professionals including The Breathe Institute, Tongue Tied Academy, Fast & Functional TMD, Buteyko Method, Talk Tools, MyoMentor, and the IAOM. Tiffany is also a certified Breathing Coach, a registered adult and children’s yoga facilitator (E-RYT200, RCYT), and a Yoga Alliance Continued Education Provider (YACEP). She is a dedicated and passionate life-long learner.

Tiffany is a member of ICAP (International Consortium of Ankylofrenula Professionals), IAOM (International Association of Orofacial Myologists), AAPMD (American Academy of Physiological Medicine & Dentistry) and is a Myo Munchee Certified Practitioner. She is on faculty with MyoMentor. Tiffany is also appointed to the Board of Examiners for Speech-Language Pathology for the state of South Dakota.

She completed her Master’s degree at the University of South Dakota in 2012, and is both a former SLP LEND (Leadership Education in Neurodevelopmental and other Related Disabilities) Trainee and a former Autism LEND Trainee, where she trained in the Sanford Children’s Hospital Specialty Clinics in addition to her graduate practicum and clinicals. Tiffany is a member of the 2019 ASHA Leadership Development Program cohort.

Tiffany is a speech-language pathologist and orofacial myofunctional therapist pursuing board certification through the IAOM (COM).
She co-owns Dakota Speech and Swallow Center, serving the Black Hills of South Dakota and surrounding areas.
They see patients of all ages (infants-adults), specializing in speech, language, voice/resonance, feeding, swallowing, and orofacial myofunctional disorders.

We are a concierge mobile private practice servicing cities in South Florida close to Ft. Lauderdale/Hollywood FL. We offer individualized, child-led feeding therapy & myofunctional therapy for infants & children.