We provide 1:1 ABA therapy for all ages and diagnoses.  In most cases, direct 1:1 therapy will be provided by a Registered Behavior Technician (RBT) in the child's home, school, or daycare setting. Cases are supervised by a Board Certified Behavior Analyst (BCBA) or a Board Certified Assistant Behavior Analysis (BCaBA). We also provide clinic-based service in our Fredericksburg office. 


Service Delivery Models


- Targeted Intervention: These programs typically involve 10-25 hours per week of 1:1 ABA therapy and treatment is focused on a small number of treatment goals. In most cases, 2-3 developmental areas are addressed vigorously, and may include pairings such as: social and play skills; compliance and executive functioning; communication and behavior; self-care skills, and more. 


- Comprehensive Intervention: These programs typically involve 25-40 hours per week of 1:1 ABA therapy and treatment is focused on all developmental skill areas. Such skill areas include communication, visual performance, social skills, play skills, academic skills, executive functions, cognition, self-care skills, community participation skills, job preparation, toilet training, feeding, behavior support, and more. 


The Process for Starting a Home- or School-Based ABA program: 


1. Initial Intake Meeting: A BCBA/BCaBA meets with parents to conduct an interview assessment. Information is collected about the child's medical and behavioral health history, current and former therapies and treatments, skill levels, and behavioral concerns. 
2. Behavioral Observations: 1-2 observations of 1 hour each are conducted in home and community settings to collect data on skills and target behaviors for the Functional Behavior Assessment (FBA). The FBA allows the BCBA or BCaBA to determine the function of the child's behavior - why is he or she engaging in this behavior? 
3. Assessment: We utilize a wide variety of assessment tools, such as the VB-MAPP, ABLLS-R, AFLS, Essential for Living, and PEAK Relational Training System in an effort to capture the most representative picture of the client's current abilities. The battery of tests is tailored to the client's age and current functioning level. Some or all of the assessments may be completed by the parents or by the BCBA, face-to-face with the client. 
4. Assessment Report: The BCBA/BCaBA writes a comprehensive report, including background information, assessment results, FBA results, recommendations for treatment, and treatment goals. 
5. Presentation Meeting: The BCBA meets with the parents to present the report, explain findings, and discuss goals. Changes may be made to the report to ensure it is accurate and thoroughly reflects the client. 
6. Initial Team Meeting: The BCBA meets with the parents, client, and behavior technicians to introduce the Behavior Intervention Plan and skill acquisition programs and establish a schedule of therapy for the client. Parents will be required to provide consent for each new program prior to implementation.  
7. Treatment: Registered Behavior Technicians (RBTs) come to the designated therapy location and implement the behavior intervention plan (BIP) and skill acquisition programs with the client. They work with the child according to the schedule agreed upon by the entire team. 

8. Team Meetings and Supervision: Monthly or twice-monthly team meetings are held to discuss progress.  Weekly supervision is provided by the BCBA/BCaBA to ensure proper implementation of programs. Frequent contact with the BCBA/BCaBA allows close monitoring of progress to ensure that the child is learning and an appropriate pace and that problem behaviors are decreasing. It also allows us to adjust plans to ensure that progress is occurring consistently.