For referring providers
A nutrition partner for feeding therapists, ARFID therapists, pediatric GI and complex-care clinics, and early intervention teams.

Refer a family
Referrals go through our secure client platform, never by email.
General questions (no patient details, please): hello@littlebitesrd.com
Who I see
Children and teens in Texas who need specialized nutrition support, including:
- tube-fed children, including regimen reviews and families interested in blended (blenderized) tube feeds
- children working toward tube weaning, with the nutrition plan coordinated with your team
- children with pediatric feeding disorder or ARFID who are working with a feeding therapist or ARFID therapist
- children stepping down from an intensive or hospital-based feeding program, or waiting to get in
- children with growth faltering or limited intake where the nutrition plan needs closer follow-up
All visits are by secure telehealth. I’m an out-of-network, cash-pay provider; families receive superbills.
How to refer
- Send a secure referral through the button below. Please don’t email or fax patient information.
- Or have the family book directly. They can schedule a free 15-minute call through the same platform.
- I’ll contact the family within [POLICY: e.g., 2 business days — Mariana to confirm].
If you have a general question about whether a child is a good fit, email me. Please don’t include any patient-identifying details.
What you’ll receive back
With the family’s written consent, after the initial assessment I’ll send you a brief summary:
- nutrition assessment highlights (growth, intake, and estimated needs)
- the nutrition plan and goals
- how the plan supports your treatment goals, and anything I’d like you to watch for
- my contact information for coordination
I’ll send updates when the plan changes significantly, and I’m happy to join a care conference by video when that’s helpful.
Working together
My background is eight years in pediatric hospital nutrition. I’m comfortable coordinating with GI, complex care, home-health, and therapy teams, and I’m glad to talk through how we might work together. [TESTIMONIAL — add only with written permission]