Listen and Talk is an early intervention and preschool program based in Seattle, Washington, that provides auditory-verbal education and therapy to children with hearing loss and their families. In addition, staff members provide consultations with public and private schools across the state. The mission of Listen and Talk is to teach children who are deaf and hard of hearing to communicate and learn through listening and spoken language. Established in 1996, Listen and Talk is the largest organization of its kind in the state. Its programs are family-centered and include parent coaching and educational support. Since February 2011, team members have been exploring the use of distance technologies to provide services to families remotely. This practice is referred to as telepractice. Team members have found that telepractice can meet the needs of families and, in some cases, improve the impact of coaching techniques. Listen and Talk's experience is that telepractice provides a powerful means by which to provide home-based listening and spoken language support services. By engaging in telepractice, professionals have reflected their own personal desire to intentionally focus on ways to strengthen their coaching skills so that families can better facilitate listening and spoken language learning in a natural and playful way through their daily routines and activities.