Developing meaningful exchanges with nonverbal children can be challenging.  It takes patience, dedication and persistence.  I developed this tool as a way to help make those exchanges as efficient and frustration free as possible.  Meal and snack can often be the only way to motivate a child.  This mat becomes a way for your child to still enjoy their favorite foods while at the same time now communicating purposefully.  Grunting and pulling you to what they want can be in the past when you use First Exchanges for mealtime!

Office Locations

904F Washington Road Westminster, Maryland 21157


12442 Owings Mills Blvd. Reisterstown, Maryland 21136


130 Holiday Drive Suite 104

Annapolis, MD 21401

(410) 871-2990

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