Empowering little voices one word at a time.

Little Voices BIG Words, LLC is an outpatient speech and language practice specializing in the treatment and evaluation of pediatric communication disorders. We support toddlers and children between the ages of 0-15. Services are provided at our home office in Arlington. Home, school, and telehealth services are provided in Arlington and the surrounding communities.

At Little Voices BIG Words, LLC we believe EVERY child is unique, which is why our therapy is tailored to fit each child's individual needs. Our child-centered approach ensures therapy is not only evidence-based and effective but also engaging and enjoyable. We believes family involvement is key to a child's success. We work closely with parents and caregivers to ensure progress made in therapy continues beyond sessions.

Our services for your child's speech and language needs

Little Voices Big Words is an outpatient speech and language practice specializing in the treatment and evaluation of pediatric speech and language disorders.

We Help With

• Speech Sounds: Remediating speech production errors
• Understanding and Using Language: Addressing difficulties with expressing thoughts (expressive language) or understanding others (receptive language)
• Late Talkers: Supporting children who begin speaking later than expected, helping them catch up to their peers
• Speech Motor Skills: Treating difficulties with the physical coordination needed for speech (motor speech disorders like apraxia)
• Stuttering: Addressing disruptions in the flow of speech (dysfluency) to improve communication
• Autism: Providing specialized support for communication and social skills for individuals on the autism spectrum (Autism Spectrum Disorders)
• Social Skills: Enhancing social communication abilities, such as understanding social cues and engaging in conversation (social communication disorders)
• Executive Functioning: Developing and improving cognitive processes for goal-oriented behavior
• Written Expression: Addressing challenge in formulation, organization, and grammar
• Reading Development: Helping children acquire the skills necessary to become fluent readers to support reading comprehension

Our Services Include

• One-on-One Therapy: Personalized treatment sessions tailored to each individual's needs
• Speech Sound Checkups: Assessing pronunciation and articulation to ensure clear speech
• Stuttering Checkups: Evaluating speech fluency to address stuttering and other dysfluencies
• In-Depth Evaluations: Comprehensive assessments of speech, language, and communication abilities
• Support for Parents: Coaching sessions to help parents support their child's communication development
• School Support: IEP consultations to collaborate with schools and develop individualized education plans

Meet the Team

About Beth

Beth Arinsburg is a licensed speech and language pathologist with a passion for helping children communicate. She received a BA in Psychology and Applied Behavior Analysis from Binghamton University and went on to earn her MS in Communication Sciences and Disorders from Emerson College. Beth also holds a Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) from the American Speech-Language-Hearing Association (ASHA).

With over 15 years of experience, Beth has worked in various settings, including Early Intervention programs, public schools, and private practice. She has helped children of all ages with a wide range of speech and language challenges, such as articulation disorders, receptive and expressive language disorders, fluency issues, and Autism Spectrum Disorders.

When she's not working with children, Beth loves spending quality time with her husband and two sons. She enjoys reading and cheering on her kids at their sports games.

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About Michelle

Michelle Cakounes is a licensed speech and language pathologist. She has dedicated her career to helping children find their voice and the power of their words. Michelle received a bachelor of science in psychology from the University of Vermont and her Master's degree in communication sciences and disorders from the University of New Hampshire. In addition to her degrees, Michelle has her certificate of clinical competence in Speech-Language Pathology (CCC-SLP) from the American Speech-Language-Hearing Association (ASHA) and a Massachusetts educators license.

Over the course of her 15 year career in public schools and private practice Michelle has enjoyed worked with children from numerous backgrounds and abilities. She has experience treating language delays and language challenges related to articulation, expressive language delays, receptive/expressive language disorders, autism spectrum disorder, downs syndrom, genetic conditions, and more.

When Michelle is not working, she can be found playing with her two young sons and spending time with her husband. She loves anything to do with the beach, trying new restaurants, baking, reading and has a mild addiction to Hallmark holiday movies.

How Our Payment Works

At Little Voices Big Words, we focus on providing the best care for your child and family. That's why we are a private pay practice. Here's how our payment process works:

• Payment: You'll be charged on the night of your visit. You can pay by check or credit card.
• Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA): You can use these accounts to pay for our services.

Insurance Information

• Out-of-Network Benefits: Some insurance companies may reimburse you for our services. Check with your insurance company to learn about your out-of-network speech and language benefits.
• Superbills: If you want to submit a claim to your insurance, we provide a detailed receipt (superbill) every month to help you get reimbursed.

If you have any questions about payments or insurance, feel free to ask us! We're here to help.

Curious About Your Child's Language Milestones?

Want tips and strategies to boost your child's speech and language development? Follow us on Instagram @LittleVoicesBIGWords for helpful advice and fun ideas!

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Michelle & Beth • M.S., CCC-SLPs (@littlevoicesbigwords) • Instagram photos and videos