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Meet Siena
 

Owner, Founder & Speech-Language Pathologist
M.S. CCC-SLP, TSSLD

Speaking With Siena was founded by Siena Cardamone-Viviano in 2018. With over eleven years of experience as a pediatric speech-language pathologist and feeding therapist, Siena has worked in private practice, school-based, and home settings, supporting children and families throughout early development.

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Siena provides services for children from birth through eighteen years old, with a specialty focus on early childhood ages birth through five. She values a collaborative, family-centered approach and works closely with caregivers and other professionals to create individualized treatment plans tailored to each child’s unique needs. 

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Based in Lynbrook, Siena lives with her husband, young daughter, and their beloved dog. She is passionate about helping children develop the communication and feeding skills needed to build confidence and meaningful connections in everyday life.

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Outside of therapy, Siena enjoys cooking, reading, traveling, and spending quality time with family and friends. When families work with Siena, they gain more than a therapist — they gain a compassionate partner and dedicated advocate for their child’s growth and success.

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Therapy Philosophy

Siena believes therapy should be child-led, play-based, and family-centered. Sessions are designed to support meaningful communication, connection, confidence, and functional participation within everyday routines. Each therapy plan is individualized to meet the unique strengths and needs of the child and family.

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Areas of Specialty

Siena provides individualized assessment and treatment for children with a wide range of communication, speech, and feeding needs. Areas of specialty include:

  • Feeding delays and feeding disorders

  • Picky/problem eaters

  • Early language development and play-based intervention

  • Autism Spectrum Disorder (ASD)

  • Neurodiverse communication styles

  • Expressive and receptive language delays/disorders

  • Articulation and speech sound disorders

  • Pragmatic and social communication skills

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Credentials & Certifications

Siena is certified by the American Speech-Language-Hearing Association and is licensed to practice in New York State. She also holds the Teacher of Students with Speech and Language Disabilities (T.S.S.L.D.) certification.

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Advanced Training & Continuing Education

Siena has completed advanced training in evidence-based approaches for speech, language, feeding, and sensory-motor development, including:

  • PROMPT Technique

  • SOS Approach to Feeding

  • AEIOU Trained Feeding Therapist

  • DIR/Floortime (ICDL Introduction)

  • Feeding Therapy: A Sensory-Motor Approach

  • Solving the Puzzle to Autism: Using Tactile Therapy Techniques

  • A Three-Part Treatment Plan for Oral Placement Therapy

  • Early Intervention Embedded Coaching Model

  • Talk Yoga Techniques Certification

  • Sensory-Oral-Motor Case Study: Infant with Down Syndrome

  • Two Phases of Post-Operative Frenectomy Care:
    Active Wound Management & Neuromuscular Re-Education

  • Natural Language Acquisition (Meaningful Speech)

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