A Total Approach has assembled an expert team of therapists here in the Delaware Valley, just a short drive from Philadelphia. Combined, the team offers decades of experience treating pediatric developmental and cognitive disorders.

Every child is unique. That’s why we create individualized program plans for each child. In many instances we coordinate with school teachers, homebound services, and behavior support staff to ensure communication and cross training. We complete school observations and home visits to ensure adequate programming for our family-centric approach. Most of our clients come to us directly for private practice, although school districts and state funded organizations have used our services as well.

We provide most programs and services in a one-to-one therapist-to-child ratio, though we also work with children in pairs or groups as they progress and are ready to cope with social skills in more challenging situations. The family has ongoing opportunities to schedule meetings with staff at our center to discuss issues of placement, IEP goals, and choice of services. We also offer a variety of services and programs for adults, plus educational training for parents and professionals.

 Hear what our clients have to say


Maude le Roux 

Maude Le Roux, OTR/L, SIPT, RCTC, DIR® Expert Trainer, is an accomplished occupational therapist with great affinity for learning and understanding the human brain.

She was born and raised in South Africa, and graduated from the University of Stellenbosch in Cape Town in 1984. Maude married Charl Le Roux in 1986 and moved to the USA in 1993. Together, they opened A Total Approach in September 2001. Maude is SIPT certified and specializes in Sensory Integration services as it applies to functional activities of daily living, including improving the ability of any child to partake in his/her learning environment. She is a certified Cellfield Intervention provider, as well as a certified Tomatis Consultant.

Maude has presented workshops in multiple international locations, as well as in the US nationwide. She has developed the developmental Pathways Model (DPM) in reaching clients with different profiles with a wide array of diagnosis. She is well known for her work in Autism Spectrum Disorders, Learning Disorders, as well as Attachment Disorders. She serves on the board for ATTACh, an US national organization involved in attachment and trauma informed care. She is currently mobilizing an international group of Occupational Therapists to organize the influence of trauma informed care in the occupational therapy field. Maude has published two books; "The Listening Journey for Children", and "Our Greatest Allies" available through Maude and Charl have an Airedale Terrier called Oscar, who is a source of great delight in their lives!

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Angela Gaudiuso Johnson 

Angela Gaudiuso Johnson, OTR/L, IMC, SIPT, CEIM, CTC, DIR-FT Practitioner, is an experienced Pediatric Occupational Therapist, practicing since 1989, and has worked in medical, educational, and private practice settings in staff and supervisory positions.

She has been working at A Total Approach since 2002, and enjoys being part of a group of experienced therapists dedicated to helping children grow to their fullest potential. Although a diagnosis may be important to obtain educational and medical services, she believes a diagnosis does not define the child’s potential or future. She also believes in assessing a child's individual profile and empowering parents in assisting their child's growth. She is certified in Interactive Metronome®, Therapeutic Listening, Infant Massage, Solisten®, Tomatis®, Sensory Integration, and in administering the Sensory Integration Praxis Test.

Angela is an experienced clinician who specializes in Sensory Processing, Praxis, DIR®/Floortime™ approach, Infant Massage, Reflex Integration, Tactile Integration, and sound therapies amongst others. Angela shares our company philosophy that each child and family are unique and deserving of the best quality therapy services.

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Janine Gargano 

Janine Gargano, P.L.A.Y. Project Certificate, Floortime practitioner, is a dedicated Floortime practitioner ,our ATA Play Project Partner and currently, pursuing her DIR® Certification. She has over 15 years experience working with a wide range of children on the Autistic Spectrum. After graduating with a B.S. from Drexel University, Janine began her journey as a home ABA therapist and as a one to one instructional assistant in various South Jersey school districts. She gained further experience by attending a variety of workshops and intensive training on the DIR model. Due to her skills, she was employed by a South Jersey school district to provide services for a large number of children with school and home based DIR® programs. Under the supervision of Maude Le Roux, Janine has enjoyed working in the home and school environment as well as at the center. She specializes in providing Floortime services with children/teens ranging from ages 1 year through 17+ on the Autistic spectrum. Janine has attended monthly workshops in understanding the mental health developmental structures as it relates to play and the emotional process. She has completed 3 years + of workshops in addition to receiving individual supervision with Dottie Higgens Klein, LMFT, RPT-S, AAMFT-S.

Janine conveys her special fondness of witnessing the beautiful bond between parent and child during Floortime™ sessions. She expresses how much the DIR approach respects each child's individual strengths. "When you validate the child and then see that spark in their eyes, there is no greater reward."

Janine is a wife and a mother of two. Her son had been diagnosed with PDD-NOS at age two and having further challenges with Speech Apraxia. Both her husband and she are extremely appreciative to have the guidance of A Total Approach and the therapy services available to their son. As a mother of a child on the spectrum, she states , "Personally, I can relate with many parents that walk through the doors of ATA having children with special needs. We can share in the experiences of the emotional undertaking and impact this road has on our everyday lives. It also has taken me to a path of feeling extremely fortunate when either of my children cross a milestone in their lives, no matter how big or how small!"

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Mahnaz N Maqbool 

Mahnaz N Maqbool, MS CCC-SLP, is a licensed and ASHA (American-Speech-Language and Hearing Association)-certified speech language pathologist (SLP). Born in Michigan and raised in Karachi, Pakistan she came to the US in 1993 where she attended Boston University. She was admitted to the accelerated program and obtained her Bachelor's Degree in Communication Disorders and a Masters in Speech-Language Pathology in five years and graduated Suma Cum Laude in 1993.

Mahnaz went on to work with school age children in Michigan and simultaneously at the Kaufman Center. Having moved to Maryland Mahnaz worked at DC Children’s Hospital, she was the lead speech therapist with the Cochlear Implant team. In 2004 Mahnaz moved to the Pennsylvania area and began working at a pediatric outpatient clinic. While at the clinic she worked with children on the autistic spectrum and those diagnosed with apraxia, articulation disorders and specific language impairments. She also has experience working in educational settings, such as in an Autistic Support Classroom. Mahnaz is a proud mother of a two girls and a little boy. She is bilingual in Urdu and English and loves to encourage kids to read!

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Adrianne Pepitone 

Adrianne Pepitone, M.A., CCC-SLP, is a Pennsylvania licensed and American Speech-Language and Hearing Association certified speech-language pathologist (SLP). She attended Queens College of the City University of New York both for her B.A in Speech Pathology and Audiology and for her M.A. in Speech Pathology.

Adrianne has over 30 years experience in her field with both children and adults. Adrianne's experiences include: oral motor problems, apraxia of speech , feeding/dysphagia issues, child language development, autism, augmentative and alternative communication devices, and adult speech/language problems involving traumatic brain injury, stroke, Parkinson's Disease, and other various degenerative neurological conditions. She is currently enrolled in the PROMPT training program for certification.

Adrianne is happy to be part of the ATA team. She is excited to help clients reach their highest communication potential through the collaborative efforts of parents and other ATA team members.

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Anne McMenamin 

Anne McMenamin, IMC came to ATA full of home-based knowledge from raising five children of her own with her husband, and also from receiving experience working with special needs children in a school-based environment. She has been with us now for over five years. She specializes in working with a variety of children and adolescents in programs such as Interactive Metronome® and Tomatis®, integrating her natural creativity and Floortime™ training.

She is also responsible for the scheduling of our Tomatis based programs and intensives. Anne expresses, "I've always loved the wonder of childhood and this position provides me with the opportunity to help each child grow towards his or her potential." Anne finds it rewarding to interact not only with all the kids who walk through the doors of ATA, but the other ATA team members as well.

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Noel Berger

Noel Berger, COTA/L, IMC, DIR-FT Practitioner  received her bachelor’s degree in Human Services from Villanova University in 2009. She then continued her education at Harcum College and received her degree as a Certified Occupational Therapy Assistant. She also has experience working at a private special education school, where she learned that her true passion was helping children achieve their maximum potential no matter what their challenges may be. Noel always knew that she wanted to work with children in some capacity and has found her place in the field of Occupational Therapy. She is excited to be part of the team at ATA where she can grow, learn and help children be all they can be.

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Andrea Keady

Andrea Keady, OTR/L, IMC, TP, received her B.S. in Health and Occupation and M.S. in Occupational Therapy from Elizabethtown College with minors in Cognitive Neuroscience and Studio Art. She is a Pennsylvania licensed and registered Occupational Therapist. She focused her Master’s coursework towards a career in pediatrics by completing electives in pediatrics and her Master’s thesis on a comparison of physical activity levels in children with and without congenital heart defects.

She completed her final student experience at ATA, where she has had the opportunity to absorb knowledge and training from the staff on interventions of Tomatis method listening program, Interactive Metronome, Sensory Processing, Reflex Integration, and DIR Floortime. She loves ATA’s emphasis on a holistic evaluation process and treatment approach towards each individual client. She looks forward to continuing to expand her skillset through trainings and experience in order to improve the lives of her pediatric clients.

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Roberta Tanenbaum

Roberta Tanenbaum, OTR/L , IMC, CEIM, TP, DIR-FT Practitioner, graduated from Temple University in 1988 and first began working in adult rehabilitation, specializing in Spinal Cord Injury. After having twins, she transitioned to pediatric therapy, where for 14 years, worked in private practice and school based settings. Around 2007, after realizing that she wanted to work directly with children and families, Roberta transitioned away from school based therapy to work exclusively in early intervention home based and private practice. Roberta has known the ATA team for many years, being taught and mentored on her DIR Floortime certification training, sensory and emotional approaches. Roberta feels that DIR/Floortime and whole child approaches have shaped the therapist she has become today. Roberta has also received certifications & trainings in Interactive Metronome, Infant Massage, Tomatis, Alert Program, Zones of Regulation, Sensory Motor Approach to Feeding and Handwriting Without Tears. Roberta looks forward to working with families and the continual learning and sharing of knowledge with the ATA team.

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Cassandra Johnson 

Cassandra (Casie) Johnson, IMC, went to The Restaurant School and has a degree in Baking and Pastry. Working with kids has always been a passion of hers so she decided to change career paths to fulfill that dream. She wants to make a difference in children's and families lives by being part of a holistic team that believes in helping children be all they can be.

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Julia Godfrey

Julia Godfrey originally obtained a certification to become a Dental Assistant and is an avid animal lover. Since high school she has worked at Ruby's Diner. After meeting Maude and observing at A Total Approach she shifted careers to become a Clinical Assistant. Her love for children makes working with them everyday all the more enjoyable and fulfilling. Julia enjoys learning and helping children grow and learn as well. Julia quickly became a favorite assistant to many of our children at ATA. She is currently going through different certifications, such as Interactive Metronome and DIR101 and she is handling the steep learning curve maintaining a calm and pleasant disposition.

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