About Us

A Total Approach is a one-of-a kind place that provides different services with professionalism, high ethical standards, and possibly most important – a warm welcoming heart for those struggling to find themselves and their loved ones in the world we live in today.
Intervention is not a “quick fix”, though it is targeted for specific skills to return to function in the shortest amount of time possible. We take a developmental approach. Our assessments are dedicated for specific profiles and known for “chasing the why.” Intervention is more successful, when targeted as close as possible to the origin of the learning difference. Clients and families appreciate the “roadmaps” that delineates timelines with possible expectations and they trust the honesty with which their situation is highlighted and explained.

Our Therapists

Maude le Roux


Maude Le Roux, OTR/L, SIPT, RCTC, DIR® Expert Trainer, is also an international trainer on a wide variety of topics and also the director of her…


Angela Gaudiuso


Angela Gaudiuso Johnson, OTR/L, IMC, SIPT, CEIM, CTC, DIR-FT Practitioner, is an experienced Pediatric Occupational Therapist, practicing since 1989, …


Andrea Keady Tjaden


Andrea Keady Tjaden M.S., OTR/L, IMC, Advanced DIR/Floortime Practitioner, Level 2 Tomatis Practitioner received her BS. in Health and Occupation and M.S. in Occupational Therapy…


Nicole Randazzo Collins

Nicole Randazzo Collins, MOT, OTR/L, SIPT, IMC, CTC is a pediatric occupational therapist with 18 years experience. She has been part of the A Total Approach…


Mahnaz N Maqboo


Mahnaz N Maqbool, MS CCC-SLP is a licensed and ASHA (American-Speech-Language and Hearing Association)-certified speech language pathologist (SLP)…


Janine Gargano


Janine Gargano, P.L.A.Y. Project Certificate, Floortime practitioner,Janine Gargano, P.L.A.Y. Project Certificate, Floortime practitioner, is a dedicated Floortime…


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…


Anne Light


Anne Light, COTA/L, IMC received a bachelor’s degree in exercise science from Immaculata University and wanted to further pursue a career in Occupational Therapy…


Casaundra (Casey)


Casaundra (Casey) DiDomenico, BS, COTA/L, IMC is a Pennsylvania licensed and NBCOT certified Occupational Therapy Assistant. She received her Bachelor…


Cassandra (Casie)


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…


Adrianne Pepitone


Adrianne Pepitone, M.A., CCC-SLP is a Pennsylvania licensed and American Speech-Language and Hearing Association certified speech-language pathologist (SLP)…


Lauren Roberts


Lauren Roberts, MS, CCC-SLP/L is a licensed and ASHA (American Speech-Language and Hearing Association) certified Speech-Language Pathologist.


Kaylin Magosin


Kaylin Magosin MS, OTR/L received her Master of Science in Occupational Therapy from Salus University, graduating summa cum laude. She graduated magna cum laude from the University…