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Does your child have difficulty swallowing when eating or drinking? Crumbs and Smiles provides evaluation and treatment for feeding and swallowing disorders for children up to 18 years of age. We work with children with various health conditions and medical conditions to reduce the risk and occurrence of swallowing problems.


Amy Nunez, CCC-SLP

With over twelve years of experience as a

speech pathologist working with families and

their children with feeding and swallowing

disorders, I am educated and certified

in a variety of treatment evidence based

approaches to support your child’s

success during mealtimes.


Crumbs and Smiles’ mission is to support the growth of healthy and independent children by providing a family-centered approach to therapy. Children with feeding and swallowing disorders may be at higher risk of mental health issues, such as anxiety. We collaborate with allied professionals (e.g.,mental health professionals, behavioral health therapists, dentists, occupational therapists) to ensure quality of care.


Crumbs and Smiles Provides:

We provide comprehensive, individualized care to support your child’s feeding and swallowing development in a safe, supportive, and collaborative environment.

Our services include:

  • Feeding and Clinical Bedside Swallowing Evaluations
    Thorough assessments to evaluate your child’s feeding skills, swallowing safety, and efficiency.
  • Orofacial Myofunctional Therapy Evaluations
    Specialized evaluations of oral muscle function, coordination, and patterns that impact feeding, speech, and breathing.
  • Feeding & Swallowing Therapy (60-Minute Sessions)
    One-on-one therapy sessions tailored to your child’s specific needs and goals.
  • Individualized Treatment Plans
    Customized therapy approaches with clear goals, strategies, and options based on your child’s unique profile.
  • Parent Coaching & Education
    Practical guidance and hands-on strategies to help you confidently support your child at home.
  • Home & School Carryover Support
    Ongoing support to help your child successfully transfer skills across environments.
  • School Collaboration
    Coordination with your child’s school team to ensure safe eating, adequate nutrition and hydration, and consistent strategies.
  • Interdisciplinary Collaboration
    Communication and coordination with medical and allied professionals involved in your child’s care.
  • Ongoing Parent Training & Support
    Continued education to help maintain progress and address new challenges as they arise.
  • Consistent Scheduling & Communication
    Reliable scheduling and clear, ongoing communication throughout the therapy process.


    Crumbs and Smiles provides