Supervision that actually happens. Documentation that survives an audit. Operations that don't depend on one person holding it all together.
Every engagement starts with measurement. We don't write reports that sit on a shelf.
Supervision calendars that people actually follow. Scheduling that doesn't change every Monday. Documentation workflows that don't require a second full-time job. We map what's happening, compare it to what should be happening, and close the gap.
Payors are auditing more aggressively. We've been on both sides of that table. We know what auditors flag, what they miss, and how to build documentation that holds up without doubling your admin burden.
RBT turnover at 80% isn't a recruiting problem — it's a systems problem. We measure what's actually driving attrition, redesign the supervision and support structure, and track whether it worked.
Seven questions. A candid assessment of where your practice stands — and what to look at first.
We've run clinics, managed compliance, designed training systems, and optimized revenue cycles. Now we help others do the same.
Ten years directing ABA clinics. Designs supervision systems, compliance frameworks, and operational workflows that hold up under real conditions.
Former payer auditor. Builds documentation systems and audit prep frameworks that clinic directors can actually maintain.
Revenue cycle, scheduling, staffing models. Finds the operational leaks that drain margin without anyone noticing.
Designs RBT development systems and competency-based training that actually changes behavior — not just checks a box.
The BACB exit data is clear: 44% of RBTs leave because of how they're treated. Most clinics respond by raising wages — and turnover doesn't budge. Read the full analysis →
Multiple commercial payors tightened medical necessity criteria this quarter. The clinics passing cleanly map goals to assessment items, cite data in reports, and document parent training justification. Read the full guide →
"I'll stop by sometime this week" isn't supervision. A functioning system has tiered schedules, structured observation, and feedback built on BST. Read the framework →
Honest answer — no pitch, no pressure.
We read everything. You'll hear back within two business days.