The ACN team works to maximize the potential of children with autism through our administrative, therapy, and development departments–get to know us!


Tiffany Fresher, Chief Executive Officer, comes to ACN with an extensive background working for and with non-profits.  She was most recently the CFO at the Jewish Federation of San Antonio/Holocaust Memorial Museum, previously the Vice-President of Operations and CFO at the Tobin Center for the Performing Arts, and the Parish Administrator/Mother’s Day Out Director at St. Mark’s Episcopal Church.  She also worked in public accounting and management. Tiffany has a business and finance degree from The University of Texas at San Antonio. Tiffany and her husband Mike live in Fair Oaks Ranch and have five kids between the two of them. 

Jessica Alvarez, Billing Specialist, has been with ACN since 2009. She studied and received her certified Medical Office Specialist certification from Southern Career Institute. Mrs. Alvarez has several years of experience in customer service and enjoys helping our families that have autism concerns.

Tracy Felty, Bookkeeper/Executive Assistant, has worked in accounting for almost 30 years.  She has worked in both the academic medical/dental friend and medical private practice.  During this time she has gained an appreciation for diverse financial accounting and analyses involved in fields like pathology, oncology, orthotics and prosthetics, radiology, and dental continuing education.  In her free time she enjoys long walks, hiking with her daughters and weekend travel adventures.

Brenda Lara, Medical Assistant, is originally from Brownsville, TX but has lived in San Antonio for the last 12 years.  She has an Associate's Degree in Child Development from Texas Southmost College in Brownsville, TX.  She also holds a CNA license from Texas State Technical Collge (TSTC) in Harlingen, TX.  Brenda previously worked as a Patient Care Coordinator/Clinical Supervisor for an Internal Medicine clinic.  She has also worked as a medical assistant in a pediatric clinic.  She brings over 10 years of administrative, billing and front office experience to Autism Community Network.  She is a single mother to 3 children.  She plans to complete her Bachelor's degree in the near future.

Robert Ramos, Front Desk Coordinator, brings 25 years of medical experience to Autism Community Network in the following areas: mental health, children with disabilities, and oncology.  He is the parent to four dogs and one cat.  He loves spending time with his family and friends.  When not working, he can be found riding through the hill country checking out local Texas wineries.

Sandra Reeve, Certified Medical Assistant/Referral Coordinator, a Pennsylvania native, comes to Autism Community Network with over 6 years experience in the medical field in the following areas: orthopedic/physical therapy, diabetes, and endocrinology and has been with ACN for over two years.  She is an empty nester with two grown, beautiful boys.  When not working Sandra loves spending time outdoors motorcycle riding in the hill country with her boyfriend.  She aspires to retire in the US Virgin Islands!


Patricia "Patty" Vela, Chief Development & Outreach Officer, holds a Bachelors degree in Psychology from Southwestern University and a Masters degree in School Psychology from Trinity University.  After 14 years of practicing as a Licensed Specialist in School Psychology for NISD, Ms. Vela entered her second career, non-profit development and fundraising.  Prior to ACN, Ms. Vela worked for a large non-profit in San Antonio. However, she always missed working alongside special needs families and was excited when this opportunity became available.  She joined our team in March, 2017.  Ms. Vela is a daughter, mother, friend, bibliophile, frustrated artist, lover of music and enjoys Gilmore Girls and HGTV a little too much!


Dr. A Patricia Del Angel, MD, Chief Medical Officer, graduated from medical school at the Universidad Autonoma de Tamaulipas. She did her pediatric residency training Lincoln Hospital and Mental Health Center/New York Medical College, where she also served as chief resident. In addition, she completed a fellowship in child development-behavioral pediatrics at King Drew Medical Center in Los Angeles, and received her specialist certification in infant mental health from the Early Childhood Center at Cedars Sinai in Los Angeles. Dr. Del Angel has most recently served as a pediatrician at People’s Clinic in Austin and as a developmental-behavioral specialist in the pediatric residency program at UTMB Austin. Previously, Dr. Del Angel was the clinical director of the Southwest Area Children’s Hub in Los Angeles for thirteen years. She is a fellow of the American Academy of Pediatrics.

Dr. Carrie Alvarado, Ph.D., OTR, Chief Operating Officer, is a researcher and clinical Occupational Therapist who received her undergraduate education at Texas Woman’s University in Denton and completed her PhD in Infant and Early Childhood Development with an emphasis on Mental Health and Developmental Disorders through Fielding Graduate University. Dr. Alvarado has 16 years of experience as an Occupational Therapist and is certified as an ICDL DIR®Floortime™ Expert Provider and Training Leader. Dr. Alvarado has worked in inpatient, pediatric outpatient and home-based early intervention settings and currently serves on a diagnostic team at Autism Community Network. Additionally, Dr. Alvarado developed and manages the DIRFloortime Hands-On Family Empowerment course at Autism Community Network. Dr. Alvarado's primary research interests are in Sensoriaffective Integration and attachment, clinical use of reflective video feedback, and in optimizing parent-mediated interventions. She completed her dissertation on establishing preliminary validity of a new clinical assessment and coaching tool, geared toward promoting enhanced use of sensoriaffective signaling between caregivers and their children. Dr. Alvarado has served as a guest lecturer for the University of Tennessee and the University of Texas' Health Science Centers and she serves on the Board of Directors for the Texas Woman's University Foundation. She enjoys connecting with colleagues across disciplines and sharing her passion for working with families at both national and international conferences.  

Mary Day Fleenor, M.A., CCC-SLP holds a Master’s degree in Communication Disorders from Our Lady of the Lake University.  She completed her undergraduate work in English and Mass Communication at Western Kentucky University. Mary has worked as a speech language pathologist over 35 years in a variety of settings including private clinics, medical settings, and the public school system.  She has also provided assessment, intervention and supervision services with Early Childhood Intervention (ECI). Mary is the recipient of a 2014 Award for Continuing Education (ACE) by the American Speech-Language-Hearing Association (ASHA).  Mary has a passion for helping children with autism and their families and has long considered her work in this area a special interest.  She is the mother of three young men and has three grandchildren.  Aside from her professional focus on pediatrics, Mary enjoys adventure through travel, reading, and hiking.

Cindy Forey, M.A., CCC-SLP brings over 30 years of experience in the field of Speech-Language Pathology (SLP).  She has worked as a clinician and supervision in Early Childhood Programs (Texas - ECI) and public schools throughout San Antonio, along with holding a position as a Project Director with the Psychological Corporation (now Pearson).  Cindy first joined Autism Community Network's interdisciplinary diagnostic team in 2011.  Having relocated to the Boston area in 2015, Cindy remained committed to advocating strongly for the infant-toddler population as an SLP supervisor and therapist in clinic, home, and community settings.  While in New England, Cindy additionally participated in team assessments and in guiding early childhood social-communication and music groups, while continuing to practice her strong bilingual skills in serving diverse populations.  In 2019, Cindy was excited to be welcomed back to ACN to continue her role in supporting the clinic team through autism screenings, diagnostics, and Family Empowerment trainings for San Antonio's bilingual educators and caregivers.  Cindy is a long-time member of the American Speech-Language-Hearing Association and is a certified trainer in the More Than Words Hanen Program for parents of children diagnosed with autism or social communication difficulties.  For leisure, Cindy travels frequently between her homes in Texas and Colorado to enjoy the snowy and mountainous outdoors with her family and loyal rescue yellow Lab mix, Kobi!

Adrienne Gaither, OTR, C-SIPT, C/NDT is the Director of Caregiver Empowerment at ACN and has been a pediatric occupational therapist for 25 years. She received her degree from The University of Texas Health Science Center at San Antonio and began her pediatric therapy career, eventually gaining experience in every setting available for the provision of children’s occupational therapy services. Adrienne has had the opportunity to serve as a member of ACN’s team since it opened its doors. She holds specialty pediatric certification in the Sensory Integration and Praxis Tests (SIPT) and has completed advanced training in Neurodevelopmental Treatment (NDT) for children as well as in the Sequential Oral Sensory (S.O.S.) feeding approach.  Locally, Adrienne had the privilege of serving on the planning team for the development of Morgan’s Wonderland; in particular, contributing recommendations for the Sensory Village portion of the park.  Prior to joining the ACN team, Adrienne worked at a multi-disciplinary therapy clinic for children with autism and was the occupational therapist serving The Foundation School For Autism during its inaugural year. In addition to her work with ACN, Adrienne is a part-time Program Director and Sensory Consultant with Kinetic Kids, Inc., a local non-profit agency providing sports and recreation activities for children and teenagers with special needs.

Marc Hoffman, M.S., OTR is a registered occupational therapist who received his Master of Science degree in occupational therapy from the University of Indianapolis. Overall, Marc has 24 years of experience working in occupational therapy in multiple settings with adult and pediatric populations. Also, Marc was an assistant professor in the occupational therapy department at the University of Texas-Pan American in Edinburg for five years from 1996-2001. Marc worked in a public school setting for nine years before joining ACN in 2011. He is a part of the interdisciplinary team that conducts assessments and screenings for autism. In addition to working at ACN, Marc works at the Foundation School For Autism in San Antonio, a public charter school in San Antonio working with young children with autism in a school setting.

Lisa M. Martinez-Jimenez, M.A., BCBA, holds her Master’s degree in Applied Behavior Analysis from Ball State University, completed her BCaBA graduate course work from the University of North Texas and received her Bachelor of Arts in Psychology from Our Lady of the Lake University.  She has worked within the field of ABA for over 10 years and is dedicated to providing quality applied behavior analytic services to families affected by autism and or other related disabilities.  Mrs. Jimenez strongly believes that training in the principles of ABA and treatment delivery, can enhance each client’s ongoing progress when offered to parents, direct care staff and interdisciplinary teams.  

Marie “Toni” Wilson, M.S., CCC-SLP Toni received her Master of Science in Speech and Language Pathology at Texas Women’s University and her Bachelor of Arts in Communication Disorders at Our Lady of the Lake University (OLLU). She is a bilingually certified SLP and certified in the More than Words Program for children impacted with social communication disorders and Autism Spectrum Disorders. Toni has provided assessment, intervention, supervision, and training in school-based, clinical, and medical settings throughout her 30-year career. She previously provided clinical supervision for graduate level clinicians at OLLU and was clinical co-instructor of the Communication Disorders Master's program practicum course. Toni served as Diagnostic Coordinator for the Harry Jersig Clinic at OLLU and collaborated with university supervisors to present at the Texas Speech and Hearing Association Conferences for "Ethical Guidelines in Supervision of Bilingual SLPAs" and "Autism & the Bilingual Child." She is the recipient of the Virginia A. Lindskog Clinical Supervisor of the Year Award at OLLU (2011). Toni has worked as a teacher of children diagnosed with severe behavioral and emotional disorders at Edgewood ISD and collaboratively with the Children’s State Hospital. Areas of expertise include Culturally and Linguistically Diverse populations, Autism (assessment, treatment, parent education, parent training, and parent mediated tele-speech therapy), and professional training in Autism: language development (Spanish & English) and intervention. Toni enjoys painting, gardening, and cooking foods from the Middle East and Mexico. Her passion is staying current with research, resources, pilot projects, and intervention programs to help parents create more positive language learning interactions to support their child’s communication goals. Their success is our success!? ?