Our Story
Why I Started Integrated
Speech & Behavior
I started Integrated Speech & Behavior because I saw a need for a different kind of speech therapy for children with complex communication needs. As both a speech-language pathologist and behavior analyst, I wanted to combine expertise in how speech and language develop with highly individualized, systematic teaching.
More than 15 years later, that remains the foundation of our practice. We pair the connection, motivation, and communication expertise of speech pathology with the systematic instruction and careful data analysis of behavior analysis. We customize therapy to how each child learns, building new skills on what they have already mastered and continually adjusting our teaching based on what’s working for that child.
How Our Approach Developed
Working across speech-language pathology and behavior analysis shaped how we think about communication therapy.
Speech pathology brings a deep understanding of how speech, language, and communication develop, along with the importance of connection, motivation, and meaningful interaction. Behavior analysis brings systematic instruction, individualized assessment, and the ability to closely measure whether a child is learning from how we teach.
We bring these together in every child’s therapy.
Our approach is highly individualized. We identify the next meaningful communication skill, build from skills the child has already mastered, and adjust our teaching based on the child’s progress and individual learning style.
The goal isn’t simply to teach more skills. It’s to understand how each child learns and use that knowledge to help them become a more independent, effective communicator.
Our Journey
Integrated Speech & Behavior began with a simple but powerful belief:
Every child deserves the opportunity to communicate, and the professionals who know how to teach them.
For our founder, Amy Fetter, that belief took shape early. As a graduate student at CU Boulder, she was introduced to the world of AAC and quickly realized she had found her life’s work. She was both fascinated and unsettled by the reality that something as fundamental as communication could be out of reach for so many individuals.
After graduation, Amy immersed herself in supporting children who were non-speaking or minimally verbal. She joined the Assistive Technology Team in Cherry Creek School District and began working with children using speech-generating devices throughout her day and beyond. She was driven to make communication more accessible, more efficient, and more meaningful for the children and families she served.
As her clinical experience grew, so did her questions. Many of the children she worked with were not making the progress she knew was possible. It became clear that knowing what to teach was not enough. She needed to understand how children learn.
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That realization led her to pursue training in Applied Behavior Analysis. Not as a separate discipline, but as a science of learning that could strengthen and refine communication intervention. This shift transformed her clinical approach, allowing her to teach communication with greater clarity, structure, and effectiveness.
In 2014, Amy became a Board Certified Behavior Analyst and formally established Integrated Speech & Behavior as a behaviorally informed speech therapy practice. From the beginning, the model was intentional: provide high-quality speech therapy grounded in learning science, delivered in the environments where children learn best. Services began in children’s homes and expanded into partnered ABA centers across the Denver area, always with a focus on meaningful, measurable progress.
Over time, the work evolved beyond direct therapy. The IS&B team became increasingly aware that many speech-language pathologists and behavior analysts were working toward the same goals without a shared framework. This led to a deeper commitment to collaboration. Through consultation, training, and ongoing dialogue, IS&B began supporting not only children but also the clinicians and teams around them.
As service models in Colorado shifted, IS&B adapted thoughtfully. The practice expanded to include in-home services, therapy within ABA centers when appropriate, and a broader range of supports, including family coaching, consultation, and professional training. This allowed the team to reach more children and provide support beyond traditional therapy models.
At the heart of IS&B is its team. Thoughtful, curious, and deeply committed clinicians who care about doing this work well. They are lifelong learners who think critically, collaborate openly, and continually refine their approach. They bring both skill and humanity to their work, creating an environment that is professional, supportive, and genuinely enjoyable for families and colleagues alike.
Now, as Integrated Speech & Behavior continues to grow, that growth remains intentional. The focus is not on scale for its own sake, but on maintaining quality, integrity, and connection. The right clinicians, the right partnerships, and the right opportunities to make a meaningful impact.
The foundation of the practice remains the same as it was at the beginning: build systems that support clinicians, teach communication with purpose, collaborate across disciplines, and always center the child.
Meet The Founder
We grow intentionally, not rapidly. Expansion is never the primary goal; excellence is. We grow only when we find the right therapist to join our mission – someone who shares our vision for integration.
- "Communication changes everything. When a child can express their thoughts, needs, ideas, and personality, the world responds differently. That's why I've dedicated our career to helping children with complex communication needs find meaningful ways to connect."