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Communication Red Flags

Are you concerned about your child’s speech and language development?
Here are crucial steps in the development of speech and language that may help guide you to determine whether or not your child would benefit from a speech and language screening or speech and language evaluation.
Questions or concerns? Our speech and language experts are happy to assist. Email us at, or schedule an evaluation Here

Six Months

•  Vowels begin to be interspersed with more consonants
•  Babbles and becomes more active during exciting sounds
•  Vocalizes pleasure and displeasure


Nine Months

•  Uses words meaningfully
•  Responds to 1 or 2 words other than name
•  Imitates coughs, tongue clicking, and hissing


Twelve Months

•  Says 2 to 8 words
•  Imitates sounds of animals
•  Controls intonations, patterns of those similar to parents


Thirteen to Eighteen Months

•  Says 4 to 6 six words at 15 months, 10 or more at 18 months
•  Points to desired objects
•  Vocalizes voice up and down

Twenty-Four Months

•  Forms short sentences with vocabulary of about 300 words
•  Uses pronouns
•  Verbalizes need for food, drink, and toilet

Red Flags

Contact us if your child is not babbling by 9 months or not producing any words by 15 months. Not producing meaningful words by 18 months, or word combinations by 24 months can also indicate an issue. At anytime your child demonstrates periods of stalled speech development, consult a speech language pathologist. Other red-flags in communication include no interest in communicating with others, no pointing or gesturing for preferred toys, objects, people, or actions, and not responding to auditory stimuli such as noise and speech.
  • By 2 years old your child’s speech should be 50% intelligible
  • By 3 years old your child’s speech should be 75% intelligible
  • Between 4 and 5 years old, your child’s speech should be between 75% and 90% intelligible.
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Patient Reviews

LLA Therapy

Patient Reviews

Crystal Scheibe

Great place, glad we found them. Been going to Medina over 2 months now and he loves Lauryn and Kyler. Wish they had more ABA therapy places available... live in Wooster and long drive everyday.

Karrie Swan LaRock

My 11 year old son has dyslexia and has made noticeable gains in working At LLA THERAPY. Katie is strong in her approach toward him and also keeps him comfortable enough to perform well. We will continue visiting both the Fairlawn and Hudson offices and recommend them highly.

Ron Monroe

My 9 year old just completed about 9 months of weekly speech sessions (due to his stuttering) with Matt Hagge at LLA and we are thrilled with the experience and results. What I thought might be a negative (what kid really wants to go to speech class?) was made very positive by Matt, and my son never hesitated or complained when we talked about class. He really enjoyed it and really took what Matt taught him to heart. His speech has been greatly improved and we definitely recommend LLA. Thank you so much!

Heather Dougherty-Pantoja

My son’s Occupational Therapist, Jess, is an amazing OT! She gives practical tips on working with my son at home and school!

Terri Apgar

I cannot say enough good things about LLA Therapy. My daughter was a client of Teal Simmons’ for approximately 2 years and was just released from speech therapy! She was diagnosed with Apraxia in 2015 and worked with Teal twice a week. Through Teal’s application of PROMPT therapy, my daughter had age-appropriate speech after one year. All of the staff we interacted with at LLA were absolutely wonderful. They really care about what they do and making sure your child achieves their goals.

Kelli Geisler Davisson

LLA Therapy has been an excellent experience for my son as well as my family! My son always asks, "When can I go see Ms. Jeannine again, is it Monday??" He has also made huge gains in only 5 months! I would highly recommend LLA and have already shared my experience with friends looking for services!

Victoria Hansford-Price

We are so grateful for our Speech Therapist Ms.Teal. We have seen a great improvement with our sons confidence and communication abilities since we have started "Prompt" therapy. What we love the most about LLA and Ms. Teal is that Kohl feels comfortable and relaxed which has played a critical role in his progress. Thank you Ms. Teal for all you have done.

Laura Lee Hogsett

They have helped in numerous ways. Speech, OT and behavioral. I've had numerous compliments on my son's progress thanks in very large part to LLA. I would recommend LLA before I recommend our local children's hospitals, though they are good, they don't have the staff that LLA does.

Amy Furukawa

We had a great experience with Matt Hagge at LLA! Our Middle School age son was becoming very conscious of his voice, which is nasal due to a cleft palate. Matt helped him to better form his sounds and project his voice in a way that makes the unavoidable nasality less noticeable.Our son is more confident and outgoing & even took on a speaking role in the church play. Matt has the perfect personality to relate with our son, and we would recommend him to anyone needing speech therapy services!

Jessica Havalotti

LLA Therapy has been an excellent experience for our daughter. I would highly recommend LLA. Miss Grace was so amazing and I can't believe how quickly our daughter showed improvement. Thank you!
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