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In this undated photo, Andrea Cales, occupational therapist with Applied Behavior Analysis, asks Jessie Pyles to point her nose in Lake Stevens, Wash. Jessie, who has autism with developmental delay, a sensory-processing disorder and other medical conditions, cannot speak but according to The Daily Herald he loves words. (Kevin Clark/The Daily Herald via AP) MANDATORY CREDIT

In this undated photo, Andrea Cales, occupational therapist with Applied Behavior Analysis, asks Jessie Pyles to point her nose in Lake Stevens, Wash. Jessie, who has autism with developmental delay, a sensory-processing disorder and other medical conditions, cannot speak but according to The Daily Herald he loves words. (Kevin Clark/The Daily Herald via AP) MANDATORY CREDIT

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