Autism Services

Applied Behavior Analysis

At Let's Talk, we choose goals and objectives from a variety of different treatment approaches and apply the science of applied behavior analysis to the teaching of these goals and objectives.

Home Program Development

Some children, particularly those on the autism spectrum, benefit from an intensive home program. Let's Talk provides families with the tools needed to start and run a home-based program. Goals and...

Home Program Management

Family Training: After the program is set up, the family trainer works with all those working with the child to provide more in depth training and monitoring of the program.

Applied Verbal Behavior

Verbal Behavior approaches are based on the work of B.F. Skinner as he described the functional use of language or "why people talk", from a behavioral perspective. For children with Autism Spectrum...


Let's Talk therapist provide training to other professionals in a wide variety of areas.

Parent Training

At Let's Talk we believe that parent participation in the therapeutic process is very important. Having the child work with a therapist once, twice or even three times a week will not provide rapid...

Developmental Individual Relationship (DIR)

Developmental Individual Relationship-Based intervention (DIR or Floortime) is a model of comprehensive treatment for children with disorders of relating and communicating.


Apraxia/Dyspraxia of Speech and Verbal Apraxia/Dyspraxia are terms used to describe a speech disorder characterized by difficulty combining the movements necessary to produce speech.

Augmentative Communication

Research has shown that it is very important to give children the ability to communicate while they are learning to speak vocally.

Social Communication

Social communication is a term often referred to as the child's ability to use language to interact in a social context.

Cognitive Disorders

Children and adults with cognitive disorders often exhibit a wide variety of communication difficulties.

Featured Blog Posts

No More, More
By Tracy Vail, MS, CCC-SLP, Autism Consultant and Heather Forbes, MA, CCC-SLP, BCBA There is currently a great deal of debate in the field of speech-language pathology about the kinds of words that should be taught first to nonverbal (or minimally verbal) individuals with communication impairments...


"When my son, Simon, was first diagnosed with Autism, I heard about Tracy Vail and Let's Talk. We didn't immediately go to see Tracy because we were in Durham and she was in Raleigh. Instead we chose a SLP who could come to our home in...

Trina N

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