Bottle Feeding Difficulty
Inefficient suck, poor suck-swallow-breathe coordination, feeding fatigue, prolonged feeds, or inability to sustain adequate oral intake.
For Practitioners
The Institute for Infant Feeding and Early Development provides multidisciplinary infant specialty care, including feeding evaluation and therapy, lactation-informed support, nutrition and growth services, developmental evaluation, and NICU follow-up. We accept referrals from pediatricians, APPs, neonatologists, NICU teams, lactation consultants, dietitians, and developmental specialists.
About the Institute
The Institute for Infant Feeding and Early Development is an outpatient specialty practice focused exclusively on infants birth through 12 months. We're built around a multidisciplinary model, bringing feeding therapy, occupational therapy, nursing, lactation, nutrition, and developmental care together under one roof, so referring providers get focused specialist support without fragmenting a family's care.
We work alongside referring providers as a coordinated part of the care team. Our goal is to complement the clinical management your patients are already receiving with focused, high-quality specialist support and clear communication back to the referring team.
Clinical Credentials
Both co-founders hold ASHA certification, Certified Neonatal Therapist credentials, and Neonatal Touch & Massage Therapist Certification. Ally also holds the Certified Lactation Counselor and Care of the Extremely Low Birth Weight Neonate credentials. Their direct Level III and IV NICU experience informs their outpatient work, alongside occupational therapy, nursing, and nutrition specialists.
Who We Serve
We evaluate and treat infants birth through 12 months across feeding and swallowing, lactation, nutrition and growth, occupational therapy and development, and NICU follow-up. The following represent common referral indications.
Inefficient suck, poor suck-swallow-breathe coordination, feeding fatigue, prolonged feeds, or inability to sustain adequate oral intake.
Infants not meeting expected volume, with suboptimal weight gain trajectory where feeding function is a contributing factor.
Suspected or confirmed oral motor dysfunction, pharyngeal dysphagia, aspiration risk, coughing or choking during feeds, or wet vocal quality.
Post-discharge infants requiring continued outpatient feeding support, progression monitoring, and caregiver preparation for home routines.
Infants struggling to progress to purees, textures, or table foods, including oral sensory concerns or prolonged texture refusal.
Infants presenting with torticollis, head-turning preference, motor asymmetry, tummy-time difficulty, sensory processing concerns, or delayed milestones, including those with a NICU history.
Infants with weight gain, intake volume, formula or fortification questions, or other growth and nutrition concerns warranting specialist dietitian evaluation, whether or not feeding function is involved.
Core Services
Full evaluation including caregiver interview, feeding history review, clinical observation, oral motor assessment, and functional feeding analysis. Findings and recommendations provided to family and referring provider upon request.
Learn moreIndividualized outpatient therapy for infants requiring continued support with feeding skills, progression, tolerance, or caregiver carryover into home routines.
Learn moreFocused outpatient follow-up for post-discharge NICU graduates, including feeding function assessment, intake monitoring, and coordination with pediatric follow-up teams.
Learn moreTargeted caregiver education and practical guidance for families managing complex feeding routines at home, often integrated into evaluation and ongoing therapy.
Learn moreFor families navigating breastfeeding and bottle feeding together, with attention to oral function, feeding transitions, and clinical alignment with lactation care.
Learn moreInfant occupational therapy evaluation and treatment for torticollis, head-turning preference, motor asymmetry, tummy-time difficulty, sensory regulation, and emerging milestone concerns.
Learn moreSpecialist guidance for infants with weight gain, intake volume, or nutritional concerns, including coordination with dietitians and pediatric teams around formula, fortification, and dietary progression.
Learn moreCommon Referral Scenarios
NICU teams and neonatologists referring premature or medically complex infants for outpatient feeding follow-up, with ongoing support for intake, progression, and caregiver preparation.
Pediatricians and APPs identifying growth concerns or inadequate intake warranting functional feeding evaluation.
Infants who have stopped accepting feeds, developed aversion behaviors, or present with significant mealtime disruption requiring clinical evaluation.
Lactation consultants referring when oral function concerns, transfer difficulty, or latch abnormalities suggest a feeding therapy evaluation is warranted.
Pediatricians or dietitians referring when texture progression is significantly delayed, inconsistent, or outside developmental expectations.
Referral Process
Referral partners can contact us directly by phone or through our secure online referral tool to initiate a referral or discuss a patient. Please don't email clinical information or a completed referral. Families may also self-refer. Following evaluation, we provide recommendations to the family and, upon request, a written summary to the referring provider.
To refer a patient or discuss a clinical question, reach our team directly.
We aim to respond to referral inquiries within one business day. Please don't email clinical information or a completed referral. Use our secure online referral tool instead.
Download the Referral Form (PDF) →Why Referral Partners Choose This Practice
Infants are our sole clinical focus. That specialization, combined with direct Level III and IV NICU clinical experience, means we understand medically complex infant populations in a way most outpatient practices don't.
Our co-founders hold advanced credentials in speech-language pathology and neonatal therapy, with additional credentials in lactation, extremely low birth weight care, and neonatal touch and massage across the team.
Evaluation summaries are available to referring providers within 48 hours. We treat every referral as part of an interdisciplinary care relationship, not a one-time handoff.
We work to offer same or next day scheduling when clinically appropriate, important for families navigating time-sensitive feeding, developmental, or nutrition concerns after NICU discharge or during early infancy.
Get Started
To submit a referral, discuss a patient's clinical situation, or learn more about our services, contact us directly. We welcome inquiries from any provider involved in the care of infants, across feeding, development, nutrition, lactation, and NICU follow-up.