A Total Approach

What A Total Approach does

A Total Approach is a privately held pediatric and adult therapy center founded in 2001 by occupational therapist Maude Le Roux in Glen Mills, Pennsylvania, with a satellite office in Orefield, PA opened in 2023. The center delivers occupational therapy and speech-language pathology built on a Developmental, Individual Difference, Relationship-based (DIRFloortime®) framework integrated with a proprietary Developmental Pathways Model (DPM). It layers in licensed modalities including Tomatis® Sound Therapy, Interactive Metronome®, Neuralign, PROMPT, SOUNDSORY®, Forbrain®, Reflex Integration, Sandplay Therapy, and the NASA-derived Learning Breakthrough Program, organized into specialty programs for Sensory Processing Disorder, Autism Spectrum Disorder, Dyspraxia, ADHD/Executive Functioning, Reading and Writing Disorders, Attachment, Trauma, Brain Injury/Concussions, and Adult Sensory Processing.

The company serves individual families primarily, with intensive in-person programs of 3-5 hours per day for 10-15 consecutive days, weekly center-based sessions at both Pennsylvania locations, and home-based services. A distance-based DIRFloortime video coaching program extends reach to families unable to travel. In 2024 the practice served families from 20 countries and numerous U.S. states through its out-of-state/out-of-country intensive program, which structures follow-up visits every 3-6 months. The Maude Le Roux Academy, an online training platform launched in 2019, provides DIRFloortime and related courses to parents and pediatric professionals globally, with a 50% parent discount during program commitment.

Revenue is generated through four primary streams: direct therapy services (in-person, intensive, home-based, and distance-based), the Maude Le Roux Academy (course fees, workshop revenue, internship fees for licensed professionals), affiliate/referral product sales of Forbrain and SOUNDSORY devices (proceeds subsidize families unable to afford services), and a long-running international internship program for pediatric OTs and SLPs. Pricing is quote-based and not publicly disclosed. Go-to-market is referral-driven and reputation-led, anchored by founder Le Roux's roles as ICDL DIRFloortime Expert Training Leader, TDSA international trainer, and advisory positions at ATTACh and LSWorks (Neuralign).

Name

A Total Approach

Legal name

A Total Approach

Website

https://atotalapproach.com

Company type

Private

Founded year

2001

Operating status

Operating

Headcount range

11–50 employees

Short description

A private pediatric and adult therapy center in Pennsylvania delivering occupational therapy, speech-language pathology, and DIRFloortime-based interventions across multiple modalities. Serves local families and international clients traveling from 20+ countries through intensive in-person and distance-based programs.

Ownership category

akta.pro rank

Product category

Pediatric Therapy Services

NAICS

Offices of Physical, Occupational and Speech Therapists, and Audiologists (621340), Educational Support Services (61171), Child and Youth Services (624110)

SIC

Services-Misc Health & Allied Services, Nec (8090), Services-Educational Services (8200)

akta.pro primary industry

Pediatric Rehabilitation & Developmental Therapy Centers (PT/OT/SLP) (HLAFAJAL)

akta.pro secondary industries

Pediatric In-Home Rehabilitation Therapy (PT/OT/SLP) (HSABADAM), Pediatric/School-Based Occupational Therapy (OT) (EDAKAFAA), Autism Parent/Caregiver Education & Training (School-Linked) (EDAKAKAJ), Developmental Therapy / Early Childhood Special Instruction (EDACAFAG)

Keywords

• Pediatric occupational therapy
• Speech language pathology
• DIRFloortime program
• Sensory processing therapy
• Developmental therapy center

Headquarters

HQ city

Glen Mills

HQ country

United States

HQ region

North America

Offices2 records

Markets served

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Therapy Services (Center-Based, Intensive, and Home-Based): Core revenue from direct occupational therapy and speech-language pathology services delivered at the Glen Mills clinic, at the satellite Orefield office, and in client homes. Includes one-hour developmental screenings, comprehensive evaluations, weekly sessions, and intensive programs (10–15 consecutive days) lasting 3–5 hours/day. Services are offered to children, adolescents, and adults across a wide range of diagnoses including SPD, Dyspraxia, ASD, ADHD, reading/writing disorders, brain injury, trauma, and attachment challenges.
2. Out-of-State/Out-of-Country Intensive Programs: Traveling families from around the world (20 countries and numerous states in 2024) come for 2–3 week intensive programs including daily 3–5 hour sessions. Parents participate in sessions to learn techniques for home carryover. Follow-up consultations are scheduled post-return, with return visits every 3–6 months. This creates recurring engagement and revenue from international and remote clients.
3. Maude Le Roux Academy (Professional Training): Online academy (launched 2019) providing professional training courses and parent education. DIRFloortime® courses open to both practitioners and parents. Parents in the DIRFloortime® program receive 50% discounted access during their program commitment. Licensed professionals pay determined fees for internship rotations. The academy generates revenue from course fees, workshops, and training certifications.
4. Forbrain® Product Sales: ATA sells Forbrain® headphones (bone conduction audio-vocal loop training device) using coupon code 2A0200018, giving clients a 10% discount while ATA receives a referral percentage. Revenue is affiliate/referral-based, with proceeds used to support families who cannot afford services.
5. SOUNDSORY® Product Sales: ATA sells SOUNDSORY® devices (neuro-acoustic multisensory program with headphones and exercises) using coupon code 2A0200018, giving clients a 10% discount while ATA receives a referral percentage. Revenue is affiliate/referral-based, with proceeds used to support families who cannot afford services.
6. Internship Program Fees: Fees are determined based on mutually agreed-upon internship components for licensed professionals. Student interns are not charged. Revenue from professional internship program fees complements training academy revenue.

Pricing tiers

Go-to-market motion3 records

Distribution channels7 records

Marketing channels8 records

Core offering

A Total Approach is a pediatric therapy center that delivers occupational therapy and speech-language pathology services built around the proprietary Developmental Pathways Model (DPM). The center integrates multiple therapeutic modalities (DIRFloortime, Tomatis Sound Therapy, Interactive Metronome, Neuralign, PROMPT, Sandplay, Reflex Integration, SOUNDSORY, Forbrain, and the Learning Breakthrough Program) to address developmental, sensory, motor, communication, and learning challenges in children, adolescents, and adults. Services are offered in-person at the Glen Mills and Orefield, PA clinics, virtually for distance-based coaching, and through intensive 2-3 week programs for international and out-of-state clients.

Product overview

A Total Approach is a pediatric therapy center offering a comprehensive suite of therapy services centered around two core services: Occupational Therapy and Speech Language Pathology. The center operates as a unified practice with multiple specialty programs and therapeutic modalities that work synergistically. Core specialty programs include Sensory Processing Disorder, Autism Spectrum Disorder, Dyspraxia, Reading and Writing Disorders, Attention Deficit/Executive Functioning, Adult Sensory Processing, Trauma and Sensory Processing, Attachment and Sensory Processing, and Brain Injury/Concussion programs. These are supported by therapeutic modalities including DIRFloortime, Tomatis Sound Therapy, Interactive Metronome, Neuralign, PROMPT, Sandplay Therapy, Reflex Integration, SOUNDSORY, Forbrain, and The Learning Breakthrough Program. The center also offers Screening Services for assessment and intensive programs for out-of-state and international clients. The approach is unified through the Developmental Pathways Model, with interventions designed to address root causes through individualized, family-centered, evidence-based care.

Differentiator

Problem solved

Functional benefit

Products and services

• Occupational Therapy A whole-person, holistic, evidence-based occupational therapy service focused on maximizing quality of life by helping clients develop skills necessary for daily activities and meaningful engagement. Serves children, adolescents, and adults across a wide range of diagnoses including SPD, Dyspraxia, ASD, ADHD, reading/writing disorders, brain injury, trauma, and attachment challenges.
• Speech Language Pathology Speech-language therapy following a DIR/Floortime approach focusing on sensory and emotional regulation as a precursor to communication and speech development. Addresses speech articulation, language, oral motor, apraxia, feeding/dysphagia, AAC, and fluency challenges across children and adults.
• DIRFloortime Program A relationship-based, developmental program that helps children grow by meeting them where they are, focusing on sensory, emotional, and learning profiles while nurturing warm, joyful interactions. Minimum four-month commitment. Available in comprehensive in-person (with coaching, consultations, parent support group) and distance-based video review and coaching formats.
• Tomatis Sound Therapy A specialized headphone-based program (Maestro) that modifies music to stimulate both sympathetic arousal and parasympathetic inhibition to impact central nervous system pathways for neural development. Addresses three functions: balance, revitalization/cortical charge, and listening.
• Interactive Metronome A computerized program combining musical metronome concepts with patented technology that measures, assesses, and improves rhythm and timing for learning and development. Uses high-intensity frequency repetitions to impact neural timing, motor planning, sequencing, and auditory attention.
• Neuralign A computer-based program that complements reading proficiency and integrates ocular-motor control, visual processing, auditory listening, and vestibular systems. Includes cognitive training (Phase 1, 15-day protocol of 1 hour/day) and reading therapy (Phase 2).
• Sensory Processing Disorder Program Comprehensive evaluation and intervention addressing sensory modulation and sensory discrimination challenges across the lifespan from infants to adults. Uses the Developmental Pathways Model to identify and treat root causes of sensory processing difficulties.
• Autism Spectrum Disorder Program Multi-phase program using DIRFloortime model to address individual differences in development, sensorimotor development, and social-emotional growth for individuals across the lifespan. Focused on relationship-based intervention for ASD.
• Dyspraxia Program Intervention program addressing the brain's ability to conceive, organize, and execute unfamiliar tasks, including generalized dyspraxia, somatodyspraxia, BIS(T), and verbal dyspraxia subtypes.
• Reading and Writing Program Program addressing decoding and comprehension components of reading, along with written expression skills, targeting foundational developmental pathways. Integrates Neuralign technology and other modalities to build reading proficiency.
• Attention Deficit and Executive Functioning Program Program focusing on 7 developmental layers of attention from information registration to pre-frontal cortex analysis, addressing ADHD characteristics including inattention, hyperactivity, and impulsivity through the Developmental Pathways Model.
• Adult Sensory Processing Program Program addressing sensory challenges in adults that impact executive functioning, careers, relationships, and daily life, using the Developmental Pathways Model to identify and address previously undiagnosed developmental profiles.
• Trauma and Sensory Processing Program Trauma-informed intervention program addressing the intersection of trauma and sensory processing, focusing on safety, support, resilience, and social integration.
• Attachment and Sensory Processing Program Program addressing attachment profiles and their connection to sensory processing, supporting caregivers and children in developing secure attachments.
• Brain Injury and Concussions Program Three-phase intervention program addressing brain injury effects from mild to severe, focusing on foundation, organization, and mastery of sensory-motor and executive functions.
• Screening Program One-hour screening sessions for developmental, sensory, motor, and communication needs for individuals across the lifespan, available in-person or virtually. Immediate same-day feedback when completed in person; virtual option uses online questionnaire and video submissions.
• Out of State / Out of Country Intensive Program Intensive 2-3 week program with daily 3-5 hour sessions serving international clients (from 20 countries and numerous U.S. states in 2024), combining multiple therapy modalities tailored to individual profiles. Includes parent participation, follow-up consultations, and return visits every 3-6 months.
• PROMPT Therapy A tactile feedback technique using gentle guidance of articulators (jaw, tongue, lips) for speech production, primarily for Childhood Apraxia of Speech, phonological impairments, dysarthria, autism, and fluency disorders.
• Sandplay Therapy A projective therapeutic technique using a sand tray with over 1,000 character figurines to allow clients (children and adults) to express non-verbalized emotional issues through tactile sand manipulation.
• Reflex Integration Program promoting integration of primitive reflexes through MNRI and Rhythmic Movement Training methodologies to support postural reflexes and mature movement patterns. ATA developed its own reflex integration assessment scale.
• Internship Program Professional internship program for pediatric professionals offering hands-on experience in pediatric therapy with mentorship, check-ins, case discussions, workshops, and potential post-internship practice management integration. Fees determined individually for licensed professionals; student interns are not charged.

Quantifiable outcome

• Serving families from 20 countries and numerous U.S. states in 2024 alone, demonstrating international demand and reach for specialized services not available elsewhere.
• +3 more outcomes

Named customers8 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature11 records

Partnerships

Seven partnerships are on record, tiered core and minor.

• ATTACh (Association for Training on Neurodevelopmental and Sensory Processing)coreStrategic or Co-development PartnerMaude Le Roux served 9 years on the Board of Directors for ATTACh and currently serves on their Advisory Board. ATTACh is a professional association focused on attachment and sensory processing. The relationship provides Maude Le Roux with a platform for continued advocacy and A Total Approach with organizational credibility in the neurodevelopmental therapy field.
• LSWorks (Neuralign Program)coreStrategic or Co-development PartnerMaude Le Roux serves on the Advisory Board for LSWorks, the developer of the Neuralign computer-based reading and cognitive training program. ATA integrates Neuralign into its reading and writing programs, using it as a major complement to reading proficiency and integration of ocular-motor control, visual processing, auditory listening, and vestibular systems.
• ICDL (Interdisciplinary Council on Developmental and Learning Disorders)coreStrategic or Co-development PartnerMaude Le Roux is an ICDL-certified Expert Training Leader for DIRFloortime®, having trained internationally since 2011. ICDL is the official body for DIRFloortime® methodology. A Total Approach operates as an authorized ICDL DIRFloortime® provider, and the Academy provides ICDL-aligned curriculum to professionals and parents.
• TDSA (Tomatis Developpement SA — Official Home of the Tomatis Method, Paris)coreStrategic or Co-development PartnerMaude Le Roux is an international trainer for TDSA (since 2009), the official home of the Tomatis Method headquartered in Paris. TDSA certifies Tomatis practitioners and maintains the quality standards for the methodology. A Total Approach operates as an authorized Tomatis provider using the Maestro headphone system.
• Interactive Metronome (IM)coreTechnology or IntegrationInteractive Metronome® is a patented therapeutic technology. Maude Le Roux is a certified trainer for IM in South Africa (since 2013). ATA uses IM extensively in its intensive programs and offers both center-based and home-based training. IM's patented auditory guidance system is a core component of ATA's therapeutic offerings.
• Staybridge Suites Wilmington – Brandywine ValleyminorOthersPreferred hotel partner for families traveling from out of state or internationally. Located at 400 Evergreen Drive, Glen Mills, PA 19342. Offers fitness center, outdoor heated pool, complimentary breakfast, and high-speed internet. ATA connects families to this and other nearby hotels to facilitate their intensive therapy visits.
• Best Western Concordville Hotel & Conference CenterminorOthersPreferred hotel partner located 0.22 miles from A Total Approach. Offers wired and wireless internet, indoor pool, complimentary hot breakfast, exercise facility, sauna, and on-site restaurant. Facilitates convenient stays for families attending intensive programs.

Scale indicators4 records

Recent moves7 records

Expansion highlights7 records

Direct peers

• STAR Institute for Sensory Processing: Denver-based specialty center for sensory processing, SPD, autism, and DIR-based occupational therapy, with intensive programs and a professional training institute. Directly comparable as a multi-modality, sensory/developmental pediatric clinic combining therapy, intensives, and practitioner training under a recognized methodology leader.
• The Koomar Center: Massachusetts OT practice specializing in sensory integration, DIRFloortime, and developmental therapy for children and families. Closely comparable in clinical philosophy (DIR/SI-led), intensive programming, and focus on family-centered developmental intervention.
• Hallowell Centers: Multi-site centers founded by Dr. Edward Hallowell specializing in ADHD, executive functioning, and related neurodevelopmental conditions in children and adults. Comparable in lifespan scope and ADD/EF specialty positioning, though heavier on coaching/psychiatry than OT modalities.
• The Place for Children with Autism: Chicago-area center offering ABA, OT, SLP, and DIRFloortime-based services for children with autism and developmental delays. Comparable in multi-modality autism/developmental offering and DIR/Floortime methodology alignment, though heavier on ABA than ATA.

Broad incumbents

• Cortica: Large, venture-backed multi-site provider of integrated medical, behavioral, and developmental therapy (ABA, OT, SLP) for autism and neurodevelopmental conditions. Comparable end-customer (pediatric ASD/developmental delays) but operates at significantly larger scale with payer contracting and broader medical services.
• Brain Balance Centers: National franchise network of child development centers offering cognitive, sensory, and motor training programs for ADHD, ASD, dyslexia, and learning disabilities. Comparable developmental-disorder clientele and multi-modality in-center program model, but as a franchise network with standardized curriculum.

Others

• Interactive Metronome (provider network): Corporate owner of the patented Interactive Metronome modality used extensively by ATA; its network of authorized providers includes many independent clinics with overlapping modalities. Relevant as both a licensor and a category of comparable therapy clinics operating IM in combination with other developmental therapies.
• ICDL (Interdisciplinary Council on Developmental and Learning Disorders): The official body for DIRFloortime methodology, with a global network of certified providers and training programs. Comparable as an ecosystem enabler/credentialing partner and as a referral network; relevant ecosystem counterpart rather than a competing clinic.

Regional players

• Pediatric Therapeutic Services (PTS): Northeast US provider of school- and center-based pediatric OT, PT, and SLP services, including DIRFloortime and sensory integration offerings. Comparable in OT/SLP modality mix and Pennsylvania/Northeast geographic footprint, though oriented to school-based contracts rather than international intensives.

Emerging players

• Marigold Therapy Center: Pediatric OT and speech clinic applying relationship-based, DIR/SI-informed approaches for children with autism, ADHD, and sensory challenges. Comparable in clinical philosophy and modality bundle at a smaller scale; relevant emerging peer.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@MaudeLeRouxAcademy
• Facebookfacebook.com/ATAMaudeLerouxOT
• LinkedInlinkedin.com/company/a-total-approach
• Instagraminstagram.com/atotalapproachpa

Revenue estimate

Valuation estimate

Number of profiles

Profiles15 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about A Total Approach