Inclusion Criteria:  Be between the ages of 18 months and 6 years of age; Present with dependence on enteral feeding for at least 80% of their daily caloric needs; - Have some prior experience consuming food orally; Demonstrate safe and functional swallowing; Present without neuromuscular conditions who are non-ambulatory (such as cerebral palsy); Have a body mass index in the 15th percentile, or greater; Present with no evidence of moderate or severe malnutrition (weight for age or BMI of age z-score < -1) or recent weight loss; Engage in no severe problem behavior outside of mealtimes; Have a stable sleep schedule that will not interfere with therapeutic meals throughout the day; Caregivers must be English-speaking; Caregivers must be present for and participate in all treatment sessions.  Exclusion Criteria:  Individuals with significant active medical conditions requiring oversight from a physician; Subjects who display severe problematic behaviors outside of the mealtime, necessitating intervention to specifically address those behaviors; - Subjects with medical, structural, or functional limitations preventing safe oral intake of pureed foods; Subjects with documented evidence of moderate to severe malnutrition or recent weight loss; Individuals with avoidance/restrictive food intake disorders who are not dependent on enteral feedings for at least 80% of their daily caloric needs.