We are a team of occupational therapists, speech-language pathologists, and relational practitioners who support children and the adults who hold them.

Director of Operations

Ashley is a Certified Occupational Therapy Assistant who has supported Casey in the growth of SOTB for over eight years. As SOTB has evolved, she quickly became an integral part of the organization, integrity, and groundwork the practice has needed to bloom. Her dedication to this practice, the parents we serve, and the children on her caseload is felt within the walls of our yellow bungalow. ##

Ashley graduated from Keiser University in Tampa in 2014 and has been working with neurodivergent children for over a decade. While this mama now calls Lakewood Ranch home — and her son her literal everything — her professional heart remains deeply connected to the Tampa community through her work at Speak Outside the Box. 

She is continuously grateful for her evolution as a practitioner within this space and how it directly impacts her understanding of herself as a mother, allowing her to better support and attune to the ever-changing needs of her child. Being a mom is her favorite gift, one that never stops giving or challenging.

Ashley’s gift stems from a deep, natural ability to see a child in the present moment and help them feel truly seen and heard, grounded in an integrated understanding of each child’s unique sensory system and capacity for connection. She believes meaningful progress begins with a regulated foundation. Her approach is strengths-driven, neurodiversity-affirming, and grounded in evidence-based practice.

As co-founder of the Hybrid Therapeutic Education Program, Ashley plays a central role in developing and implementing an innovative educational model intentionally designed for neurodiverse learners. She is committed to reshaping education through models that are developmentally informed, therapeutically grounded, and responsive to the learner.

Pediatric Therapy Director 

Taylor Anderson is a pediatric speech-language pathologist, and SOTB Therapy Director. She is dedicated to neurodiversity-affirming care, interdisciplinary collaboration, and play-based intervention rooted in relationships. She earned her bachelor’s degree in Communication Disorders and Sciences from California State University, Northridge, and her master’s in Speech-Language Pathology from the University of Colorado Boulder. ##

Taylor is a DIR/Floortime Provider with advanced training in pediatric feeding disorders, AAC, and trauma-informed care. Her experience spans early intervention, schools, hospital, and outpatient settings. 

Taylor brings a deeply attuned and grounded presence into the walls of our pediatric clinic. She is often the clinician the SOTB team turns to for reflective, steady, and non-reactive feedback and guidance. Taylor consistently meets the moment by slowing down - a skill that our SOTB team, and I assume the families she works with, deeply admire. Taylor holds the families she serves with both care and conviction, while intentionally creating space for parents to build trust in themselves and their child. Her way of being brings forward the remarkable ability to meet both children and parents exactly where they are,  without expectation, urgency, or pressure,  allowing growth to unfold at a pace that feels safe and sustainable.

Taylor is passionate about partnering with families to meet each child where they are—supporting authentic connection, joyful engagement, and meaningful communication. Outside of work, she enjoys adventuring with her dog, reading, dancing, and spending time outdoors.

SOTB Program Director 

Katie Lietz, MOT, OTR/L is a board-certified pediatric occupational therapist, and lead OT at Speak Outside the Box. Originally from Pittsburgh, Pennsylvania, Katie earned her Bachelor of Arts in Music from Slippery Rock University and her Master’s degree in Occupational Therapy from University of Texas at El Paso. ##

Katie is deeply committed to providing neuroaffirming, sensory-based care that honors each child’s unique nervous system, communication style, and developmental profile. She has experience working with children across a variety of settings including outpatient clinics, schools, private practices, and summer programs. Katie emphasizes sensory processing, interoception, and functional skill development, valuing family-centered care and collaborates closely with caregivers, teachers, speech-language pathologists to ensure supportive intervention across environments. Her clinical interests include early intervention, pediatric feeding therapy, sensory integration, motor development, and participation in meaningful daily routines.

Katie brings a powerful, initiating energy into our space, creating movement and rhythm that ripple through the children and our entire SOTB community. She is driven, determined, and deeply committed to her growth as a clinician, pairing an expansive clinical toolkit with creativity and action. Our families and team are especially grateful for the joy she brings- from her dynamic presence to the guitar and beautiful singing voice that so many of us have come to love.

Katie is the Program Director of The Collective Program at Speak Outside the Box. Within this role she is able to interweave her leadership skills with the overflowing desire to use her passion and creativity to support the growth of social connection and community. 

Outside of work, Katie enjoys yoga, gardening, reading, camping, and traveling. She also loves incorporating her musical background into therapy sessions, using rhythm, movement, and song to support engagement, regulation, and learning.

Clinic Manager

Abby Casaccia is a Speech-Language Pathologist and the Lead SLP at SOTB. Born and raised in Tampa, Florida, Abby earned her Bachelor’s degree from Florida State University and her Master’s degree in Communication Sciences and Disorders from the University of Central Florida. ##

Abby has extensive experience working with pediatric clients across private practice, school, home, and hospital settings. She is dedicated to supporting children and their families across a broad range of communication needs, including autistic children, gestalt language processors, children who use Augmentative and Alternative Communication (AAC), and children with articulation and phonological disorders, language disorders, and stuttering. She believes that every child deserves to feel heard, understood, and confident in their ability to communicate.

Abby has received specialized training in Gestalt Language Processing and implements thoughtful, individualized strategies for diverse language learners to support each child’s natural language development. Abby works closely with families to ensure each child receives cohesive, individualized care that extends beyond the therapy room. 

Abby is known and loved for her energetic and engaging personality. She approaches every child and family with deep care and intentionality, putting an incredible amount of thought, effort, and heart into each individual case. Abby holds herself to a very high standard, and that commitment is evident in the way she shows up for her clients and her SOTB team each day.

As lead SLP, Abby holds her leadership role with intention, valuing mentorship and collaboration with fellow therapists. works closely with families to ensure each child receives cohesive, individualized care that extends beyond the therapy room. 

Outside of the therapy room, Abby enjoys baking, taking on DIY home projects, traveling, crafting, and spending quality time with her friends and family.

Pulse & Pause Program Director

Ashley Stresen-Reuter is a yoga teacher, wellness guide, and retreat leader with over a decade of experience creating heart-centered spaces that help people reconnect with their bodies, breath, and inner wisdom through mindful movement, breathwork, and sound meditation. As the Pulse & Pause Program Lead at Speak Outside The Box, Ashley stays connected with the community virtually sharing simple practices and resources families can use anytime they need a quick reset. ##

This summer she’ll embark on an epic adventure with her husband and their cat as they explore the American West in a camper van. “You never know where Ashley might be sharing from each week — the mountains, desert, or beside a campfire.”

Hannah earned her Bachelor’s degree in Elementary Education from University of Central Florida and is currently pursuing a Master’s degree in Speech-Language Pathology. Most are familiar with Hannah’s warm energy greeting at the front and guiding children and their families to their therapist or interventions. Behind the scenes, Hannah is keeping our space organized, equipped and prepared for each child to feel at home.

Erin Ellis is a nationally certified and state-licensed Speech-Language Pathologist with over 10 years of experience working with children. She is passionate about helping kids find their voice and believes therapy should feel engaging, supportive, and meaningful. Erin loves providing play-based, neurodiversity-affirming care that values collaborating with families and other professionals to support the whole child.  She earned her Bachelor’s degree in Communication Sciences and Disorders, with a minor in Elementary Education, from the University of Florida and her Master’s degree in Speech-Language Pathology from the University of South Florida. ##

Erin’s ability to be fully present with the children and adults in her life is felt in her kind smile and open-hearted energy. She is a true gift to those she touches, creating spaces where children feel safe enough to relax, connect, and grow into their highest capabilities.

Erin holds a certificate in Structured Literacy and the Science of Reading and has completed additional training in Polyvagal Theory. Her clinical interests include speech sound disorders—especially phonological disorders in preschool-aged children—as well as providing a structured literacy approach to reading with elementary students. She also enjoys supporting children with Attention Deficit Hyperactivity Disorder (ADHD) and Autism with an approach that prioritizes regulation and connection to build skills.  

Erin is dedicated to providing therapy that is not only evidence-based, but also functional, joyful, and empowering for every child and family she serves.

Jess Burford is a pediatric occupational therapist born and raised in Pittsburgh, PA. She earned her undergraduate degree in Biology from Slippery Rock University, where she was also a member of the collegiate cheer team, and went on to receive her Doctorate in Occupational Therapy from Chatham University. ##

Jess has experience across both pediatric and adult populations in settings such as outpatient clinics, schools, and level 1 trauma centers. While she has enjoyed working with a wide range of clients, her true passion is pediatrics, supporting children in developing independence, emotional regulation, and sensory processing skills. 

She has special interests in sensory processing, emotional regulation, reflex integration, strength and coordination, visual-motor skills, and helping children build confidence and independence across all settings. Jess takes a neurodiversity-affirming, play-based, and child-led approach to therapy, working collaboratively with families to ensure interventions are meaningful, individualized, and empowering for each child. Jess’s infectious smile and light, playful energy is sure to inspire both the children and the parents she works with.

Outside of work, Jess enjoys reading, traveling, cooking, taking exercise classes, and walking her two wiener dogs. She brings creativity, curiosity, and enthusiasm to every session, striving to make therapy engaging, fun, and impactful for the children she works with.

Maddie Abdoney was born and raised in the Tampa, FL area. Maddie received her bachelor’s degree in Communication Sciences and Disorders from the University of Florida. She received her Master’s degree in Speech-Language Pathology with a concentration in Aural (Re)Habilitation from the University of Tennessee Health Science Center in Knoxville, TN. ##

From an early stage in her career, Maddie knew her heart was in pediatrics, where she could combine her clinical skills with creativity, compassion, and connection.  Play is at the heart of her therapy, following a child-led, play-based approach to create joyful, engaging sessions where meaningful learning happens naturally. Rather than focusing on “fixing” differences, she prioritizes empowering children with tools, strategies, and confidence to communicate in ways that feel authentic and effective for them.  She recognizes and celebrates different communication styles, sensory needs, and learning profiles.

Maddie has provided services to both pediatric and adult populations across a variety of settings, including outpatient clinics, schools, and private practices. Her clinical experience spans articulation and phonological disorders, expressive and receptive language disorders, hearing loss, autism spectrum disorder, developmental delays, augmentative and alternative communication (AAC), as well as voice and swallowing disorders. 

Although one of the newer clinicians within the field, Maddie’s strengths have grown quickly through her unwavering commitment to learn, apply, and step into each new experience with determination. She consistently demonstrates a thoughtful understanding of her clients’ individual differences and an impressive ability to implement strategies and frameworks with skill and intention. Maddie’s grounded presence allows her clients and their families to feel confident, supported, and trusting in the care she provides.

Maddie is especially passionate about working with children, adolescents, and adults who are deaf or hard of hearing. She values supporting listening and spoken language development, total communication approaches, and family education to help individuals with hearing loss thrive across environments. She is committed to empowering families with knowledge and practical tools, ensuring their loved ones have access to communication in all aspects of their lives.

Maya Zwack is a pediatric speech-language pathologist at SOTB whose work is rooted in safety, connection, and play. She is committed to neurodiversity-affirming, relationship-based care that honors each child’s unique developmental profile. Maya earned her undergraduate degree in Communication Sciences and Disorders from Florida State University and her master’s degree in Speech-Language Pathology from the University of South Florida. ##

She has experience supporting children with a wide range of communication needs, including autism, augmentative and alternative communication (AAC), gestalt language processing, language delay, and speech sound disorders. Guided by a child-led, nervous system informed approach, Maya prioritizes attunement, regulation, and connection as the foundation for meaningful communication growth. She meets each child where they are, supporting development and expanding communication within joyful, meaningful play.

Maya is certified in the Safe and Sound Protocol (SSP), a listening-based intervention developed by Dr. Stephen Porges and based on Polyvagal Theory that supports regulation, connection, and social engagement. SSP is offered alongside other therapeutic services to help children build a foundation of safety and co-regulation that supports growth across settings.

Since seeking out SOTB as a graduate student and growing into her role as a licensed clinician within the practice, Maya has been deeply shaped by the mentorship and community she found within this practice. Working within a team centered on connection and thoughtful care continues to influence the way she supports children and families each day. She is continually inspired by the trust and relationships she builds with children and families and remains committed to ongoing learning and showing up with presence and intention.

Madison Wall is a pediatric Speech-Language Pathology Clinical Fellow at SOTB. She earned her bachelor’s degree in Communication Sciences and Disorders from the University of Kentucky and her master’s degree in Speech-Language Pathology from Gannon University. Madison had the rare opportunity to be informally mentored by Casey Carrington, M.Ed., CCC-SLP for two years while in graduate school. ##

Madison is passionate about creating a supportive, engaging environment where children feel safe, understood, and confident. She has experience working with articulation and phonological disorders, expressive and receptive language delays, autism spectrum disorder, augmentative and alternative communication (AAC), developmental delays, and executive functioning challenges. Madison carries that “feels like home” energy that naturally puts children and parents at ease.  She forms meaningful connections with children effortlessly, and parents often feel an immediate sense of trust and comfort in her presence.  Her vibrant energy and playful spirit are especially supportive for children who experience challenges with connection, engagement, and sustained attention.  The SOTB team feels grateful to support her as she grows in her role and looks forward to the continued development of her gifts as a clinician.

Her clinical approach is rooted in compassion, consistency, and collaboration. Madison values partnering closely with families and other professionals to help children build the communication and regulation skills they need to thrive in therapy and in their everyday lives.

Madison is directly supervised by Taylor, ensuring continued mentorship, support, and clinical excellence as she grows in her role.

Celine is a pediatric Speech-Language Pathology Clinical Fellow at SOTB.  She received her bachelor’s degree in Communication Sciences and Disorders from Florida State University and her master’s degree in Speech-Language Pathology from the University of South Carolina. ##

Celine is especially passionate about early language development and empowering children to communicate effectively and confidently.  She has experience working with children with expressive and receptive language delays, articulation and phonological disorders, autism spectrum disorder, developmental delays, and other early communication needs.

Celine brings a warm, inviting energy into every session and eagerly steps into new challenges with preparation, creativity, and thoughtfulness.  Although she is a newer clinician, her competence and deep understanding of language development are impressive and evident in her clinical decision-making.  Celine strives to create a nurturing, engaging therapy environment and values strong collaboration with families to help children build communication skills that generalize beyond the therapy room.  

Celine is directly supervised by Taylor, ensuring continued mentorship, support, and clinical excellence as she grows in her role.