
Riffat Rehman
Speech-Language Pathologist / Owner

In-home services across McKinney and nearby
Insurance
9 plans + Medicaid
Ages served
All ages
Availability
Accepting new clients
Setting
Center-based · In-home · Telehealth · School
Languages
English, Urdu, Hindi
Overview
A Prosper-based speech-language practice founded by a mother who once ran her own son's home autism program, this team now works with kids and adults across the Metroplex. Sessions blend in-clinic visits, daycare and Montessori partnerships, and telehealth reaching families anywhere in Texas. Care spans articulation, language, feeding, AAC device support, and social skills groups, with several clinicians treating autism, ADHD, and other developmental needs. Multilingual therapy is available in English, Urdu, and Hindi.
Best suited to families wanting a bilingual-friendly SLP practice for a child with autism, ADHD, or a feeding or communication delay, including those who prefer virtual sessions.
Treatment plans are built around each person's diagnosis and communication profile, drawing on AAC training, feeding therapy techniques, and parent coaching so skills carry over at home.
A free phone consultation kicks off the process, followed by roughly 30-minute sessions adjusted to each client's needs, with a reply to the intake form within one to three business days. The practice bills Blue Cross Blue Shield, UnitedHealthcare, TriWest, Humana TRICARE West, Aetna, Wellpoint Medicaid, Oscar Health, Baylor Scott & White, and Superior Healthcare, and offers private-pay options for families whose plans don't fit.
Services
The people
Team includes 2 speech therapists.

Speech-Language Pathologist / Owner

Speech-Language Pathologist

Speech-Language Pathologist (Clinical Fellow)
Speech-Language Pathologist Assistant (SLPA)

Speech-Language Pathologist (Clinical Fellow)
Payment
Accepts Medicaid
Coverage can change, so confirm your specific plan when you reach out.
Good to know
Yes — Main Step Therapy has experience with AAC (augmentative and alternative communication) for nonverbal and minimally verbal children. AAC ranges from picture boards to speech-generating devices, matched to each child.
Yes — Main Step Therapy offers bilingual speech therapy. Working in a child's home language often speeds progress and keeps the whole family involved.
Main Step Therapy works with plans including Blue Cross Blue Shield (BCBS), United Healthcare (UHC), TriWest Healthcare, Humana TRICARE West, Medicaid (Wellpoint), Aetna, among others. If your plan isn't listed it's still worth asking — provider networks change often, so confirm your specific plan when you reach out.
Yes — Main Step Therapy accepts Texas Medicaid. Some plans require a referral or prior authorization first, and if you're still applying, ask about self-pay or sliding-scale options in the meantime.
Main Step Therapy serves ages All ages. If your child is near the edge of that range, it's worth reaching out — providers often make case-by-case decisions.
Yes — Main Step Therapy offers telehealth in addition to in-person care for families across Texas, where clinically appropriate. It can be a practical option for follow-ups or for families a long drive from the clinic.
Main Step Therapy is located at 1402 S Custer Rd, McKinney, TX 75072, serving families throughout McKinney and the surrounding area. If getting there is difficult, ask whether telehealth or in-home options are available.
Main Step Therapy is currently accepting new clients in McKinney. Sharing your child's age and insurance up front helps them tell you quickly whether they're a fit — availability can change fast.
Ratings sourced from Google. Autism Services Finder verifies listings but doesn’t endorse providers. Updated July 2026.
1402 S Custer Rd, McKinney, TX 75072
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