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Business Details
11 Years
experience
In-Home Speech Therapy Services in King & Snohomish Counties
Sno-King Speech has provided in-home speech-language pathology services since 2015, specializing in serving children and adults with developmental disabilities, articulation issues, language disorders, and acquired conditions like strokes or traumatic brain injuries. Our team of fully credentialed professionals delivers evidence-based interventions tailored to individual needs, emphasizing treatment in familiar environments to maximize skill generalization. With expertise in augmentative and alternative communication (AAC), social communication training, and teletherapy, we serve King and Snohomish counties, prioritizing convenience and flexibility for families.

Our staff includes ASHA-certified clinicians with decades of experience across medical, educational, and private practice settings. We maintain rigorous safety standards, including full vaccination against COVID-19, and offer occupational therapy services for children on the Eastside. By eliminating transportation burdens and adapting therapy to real-life contexts, we focus on improving quality of life through functional communication solutions.
Services
Adult speech therapy AAC services Corporate communication Pediatric therapy Teletherapy Occupational therapy Social communication Voice disorder treatment Swallowing therapy Autism support
Details
  • Year established: 2015
Highlights and features
  • We provide in-home therapy services across King and Snohomish counties since 2015
  • Our staff includes ASHA-certified clinicians with 25+ years of clinical experience
  • We specialize in evidence-based interventions for developmental and acquired disorders
  • We offer teletherapy options for flexible service delivery
  • Our team includes AAC specialists with device programming expertise
What people say
Confidence in new words Convenient home visits Significant progress post-TBI Effective AAC programming Structured home routines
Services
Adult speech therapy
Specialized treatment for adults with acquired communication disorders from strokes, traumatic brain injuries, or progressive conditions. Our therapists address aphasia, voice disorders, and cognitive-communication challenges through individualized plans. Services include home visits and teletherapy for Washington residents.
AAC services
Comprehensive AAC evaluation and device programming for nonverbal individuals. We support low-tech and high-tech solutions, including customized device programming and caregiver training. Our specialists work with children and adults across the autism spectrum and other developmental disabilities.
Pediatric therapy
Early intervention for children aged 2+ with articulation delays, language disorders, and social communication challenges. Our play-based approach builds foundational skills while reducing frustration through home-based sessions tailored to developmental needs.
Teletherapy
Secure videoconferencing sessions for speech therapy services statewide. Teletherapy maintains continuity of care for established patients and provides flexible scheduling options while maintaining evidence-based treatment approaches.
Social communication
Targeted intervention for individuals with autism spectrum disorder and other conditions affecting social interaction. We develop practical communication strategies for home, school, and workplace environments through structured skill-building activities.
People
Nithya Siva
Owner
ASHA-certified speech-language pathologist with 29 years of experience across medical, educational, and private practice settings. Specializes in developmental disabilities, TBI rehabilitation, and AAC implementation. Clinical instructor at University of Washington.
Rebecca Wynne
Speech-Language Pathologist
ASHA-certified SLP with 18 years of experience in AAC implementation and social communication disorders. Former non-profit specialist in complex communication needs. Lectures on assistive technology and AAC funding solutions.
Sabiha Haider
Occupational Therapist
Pediatric occupational therapist with 22 years of experience in sensory integration and feeding therapy. Specializes in handwriting development and home-based interventions for children across Snohomish County.
Chrisanne Wood
AAC Programmer
Certified programmer with 20+ years of experience in assistive technology platforms. Mother of a nonverbal child, bringing personal insight to device customization. Provides low-cost programming support for AAC users.
Questions
What areas do you serve?
We provide in-home services throughout King and Snohomish counties, including Seattle, Redmond, Bothell, Bellevue, Lynnwood, Mill Creek, and Everett.
Do you accept insurance?
We are out-of-network providers. You'll receive monthly superbills for insurance reimbursement. We accept Medicare Advantage and commercial insurance clients but cannot serve straight Medicare patients.
What ages do you work with?
We treat children aged 2+ and adults of all ages, specializing in developmental disabilities for children and acquired conditions for adults.
How do teletherapy sessions work?
Secure video sessions use HIPAA-compliant platforms. Equipment requirements include a device with camera/microphone and stable internet connection. Sessions maintain the same therapeutic quality as in-person visits.
What is your cancellation policy?
We require 24-hour notice for cancellations. Missed appointments without notice will incur a $50 fee to cover scheduling disruptions.
Do you offer financing options?
Yes, we partner with Ben's Fund to provide financial assistance for autism-related therapies and equipment purchases across Washington State.
Reviews (2)
Chrisanne Wood
Feb 06, 2020 Report
Our 18-year-old son has a dual diagnosis of Down Syndrome and Autism, and is nonverbal. Nithya has been working with him since he was 14, and the progress shes made with him has been amazing. When she first started with him, he had been making great progress in many areas, but he was dealing with some sensory and behavioral issues. We needed a speech pathologist who could help him to continue to grow in communicative and academic areas, while also helping him to become more comfortable and safe at school and at home. Over the past four years, our sons ability to communicate with assistive
D. H. Damo
Oct 08, 2019 Report
Look elsewhere! We used Nithya for approximately 6 months in early 2019. We saw marginal improvement from our son, but never really got any comprehensive update on his progress nor feedback beyond a few short sentences. The relationship failed because of her misleading and money-hungry business practices. She leverages concern for your kids into steep fees. The contract you sign at the beginning of service indicates that there are a limited number of cancellations allowed. There is also a 'vacation policy' section on the contract, which though it says will allow for vacations with notice, in