Nikki Makino, M.S., CCC-SLP
Supporting children through personalized speech and language therapy in the South Bay area.

Welcome! I’m so glad you’re here!
My passion is helping children build meaningful communication skills in ways that honor their strengths and support the whole child. Whether we’re working on early language, AAC, motor-based speech, or myofunctional goals, my mission is always to meet each child exactly where they are—and help them grow with confidence.
I bring over 10 years of experience in both clinical and private settings, with a strong emphasis on caregiver coaching and team collaboration. I truly believe that therapy works best when families feel empowered, involved, and supported every step of the way.
As a lifelong learner, I’m committed to deepening my knowledge and refining my practice through ongoing training, certifications, and research. Staying current in the ever-evolving field of speech-language pathology allows me to offer the most effective and compassionate care possible to every child and family I serve.
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Early Intervention & Play-Based Therapy
Parent-coaching centered care designed to support toddlers and preschoolers in finding joy and confidence through meaningful, everyday interactions. Therapy is child-led, engaging, and rooted in connection.
Childhood Apraxia of Speech
Motor-based therapy approaches that support the brain-body connection and help children improve the precision and consistency of speech movements. Therapy is individualized, with a focus on trust and success.
AAC (Augmentative & Alternative Communication)
Comprehensive evaluations and feature-matching of AAC tools to support nonspeaking or minimally speaking children. I work closely with families & multi-disciplinary team to ensure AAC is both functional and empowering across all environments.
Gestalt Language Processing (GLP) support
Therapy grounded in the Natural Language Acquisition (NLA) framework to support gestalt language learners in moving toward self-generated language. Sessions include partner coaching and affirming strategies to support self-generated language growth.
Oral Myofunctional Therapy
Assessment and treatment of oral myofunctional disorders such as tongue thrust, open mouth posture, and other related concerns. Emphasis on collaboration with cross-disciplinary professionals (e.g., dentists, ENTs, orthodontists) to ensure holistic support.
Sensory-informed and neurodiversity-affirming care
Therapy that respects and supports each child’s unique neurological profile. My approach is grounded in the belief that behavior is communication, and every child thrives when they feel safe, regulated, and understood.
I’ve completed advanced coursework, including the USC Sensory Integration Continuing Education Program, to deepen my understanding of how sensory and neurophysiological differences influence communication and behavior. I use this lens to tailor supports for autistic children and others with sensory processing differences—creating therapy experiences that are respectful and empowering.
Connect with me
I offer complimentary consultations to help families navigate their options with clarity and compassion.
Location & Availability
📍 Serving families in the South Bay, including Manhattan Beach, Redondo Beach, Hermosa Beach, El Segundo, Torrance, and surrounding areas.📍Teletherapy available for clients anywhere in California


Let’s Talk!
I’d love to hear your child’s story and see how I can help.



