Private Insurance and ABA Therapy in Arizona: A Parent’s Guide

Key takeaways

  • Arizona requires state-regulated group health plans to cover medically necessary ABA therapy for a person with an autism diagnosis, with no dollar cap and no age limit, as of a 2025 law change.
  • The mandate does not apply to individual-market plans or small-employer plans with 2 to 50 workers, so coverage in those plans depends on the specific policy rather than state law.
  • There is no limit on the number of visits, and cost sharing must follow the normal terms of your plan rather than a special autism-only limit.
  • Arizona has required behavior analyst licensure through the Board of Psychologist Examiners since around 2010, among the earliest states to do so.
  • Arizona Medicaid, AHCCCS, covers ABA for eligible kids under 21 with no annual dollar cap.
  • LEARN Behavioral, through its Autism Spectrum Therapies (AST) team, is in network with most private insurers and verifies your specific benefits before therapy begins.

If you are a parent of a child with autism in Arizona, you have probably heard that applied behavior analysis (ABA) therapy can help kids build communication, social, and daily living skills. Figuring out how to pay for it is usually the harder part, and Arizona’s rules changed significantly in 2025 in ways many online guides have not yet caught up with. This guide walks through what the law currently requires, how to check your own plan, what you might pay, and how Medicaid fits in.

How private insurance covers ABA therapy in Arizona

Arizona law requires private insurance to cover ABA therapy for most families with coverage through a larger employer. Under Arizona’s autism insurance law (ARS 20-826.04, with parallel provisions for HMOs, group disability insurers, and blanket disability insurers), state-regulated plans cannot deny coverage or impose dollar limits, deductibles, or coinsurance based solely on an autism diagnosis, and cannot exclude medically necessary behavioral therapy, including ABA, when it is provided or supervised by a licensed or certified provider.

There is an important carve-out to know about. The law does not apply to policies issued to an individual or to a small employer with 2 to 50 employees. If you buy your own coverage rather than getting it through a larger job, or your employer is a small business, this particular Arizona mandate does not require ABA coverage, and you will need to check your plan directly. LEARN delivers care through its AST team wherever it fits your family, whether in your home and community, at your child’s school, or in a center-based Learning Center.

What Arizona’s autism insurance law requires

Arizona law (ARS 20-826.04 and its HMO and disability-insurer counterparts) gives families with covered plans several protections:

  • Insurers cannot exclude or deny coverage, or apply dollar limits, deductibles, or coinsurance, based solely on an autism spectrum disorder (ASD) diagnosis.
  • Insurers cannot exclude medically necessary behavioral therapy, including ABA, when it is delivered or supervised by a licensed or certified provider.
  • As of a 2025 amendment, there is no separate dollar cap or age-based limit on ABA coverage under these sections.
  • Normal plan terms, such as standard deductibles and coinsurance, still apply for other covered care.
  • The law does not require coverage for services received outside Arizona, and does not apply to individual-market or small-employer (2 to 50 employees) plans.

This is a meaningful change worth calling out directly. Arizona’s original 2008 law, sometimes called Steven’s Law, set tiered dollar caps of $50,000 per year for children up to age 9 and $25,000 per year for ages 9 to 16. Senate Bill 1590, signed into law in May 2025, removed those caps entirely from the statute. Many online resources still describe the old-age tiers and dollar limits, so if you see those figures elsewhere, they reflect the law as it stood before 2025, not the current requirements.

Is your plan fully insured or self-insured?

Beyond the individual-versus-group distinction above, there is a second layer worth checking. Arizona insurance law governs state-regulated group plans. Many large employers, though, use self-funded (self-insured) plans, where the employer pays claims directly. Self-funded plans are governed by federal ERISA law rather than state mandates, so the Arizona protections described above may not apply to them.

Finding out takes only a few minutes. Follow these steps:

  1. Call the member services number on your insurance card, or ask your employer’s benefits contact.
  2. Ask whether your plan is a large-group fully insured plan, a small-employer plan, an individual-market plan, or self-funded.
  3. Ask whether ABA therapy for autism is a covered benefit under your specific plan.
  4. If the plan is a self-funded, small-employer, or individual-market plan, ask whether it covers ABA voluntarily, since many plans do so even when not required to.

Why this matters: Two Arizona families holding insurance cards from the same company can have very different ABA coverage, depending on whether the plan is large-group, small-group, individual, or self-funded. The card alone will not tell you, so it is worth confirming for your own kids before you assume.

How much does ABA therapy cost with private insurance in Arizona?

When your plan covers ABA, your out-of-pocket cost is usually limited to standard cost sharing, such as your copay, coinsurance, and deductible, up to your plan’s out-of-pocket maximum. Since the 2025 change removed Arizona’s autism-specific dollar cap, cost sharing generally follows the same terms as the rest of your plan. The total amount of therapy varies from one child to the next, because a board certified behavior analyst (BCBA) sets the recommended hours in an individualized treatment plan.

A few cost details are worth knowing in advance:

  • Coverage usually starts with an assessment before ongoing therapy begins.
  • Your BCBA submits a treatment plan for authorization, and the plan is reauthorized periodically as your child makes progress.
  • Some plans apply a separate behavioral health deductible.
  • In-network care generally costs less than out-of-network care, so ask which of our locations are in your network.

Because plan designs differ so much, especially given the individual-versus-group distinction in Arizona, the most reliable way to understand your costs is to have your provider verify your benefits before services start. You can learn about our ABA therapy services and contact our intake team to have your Arizona benefits checked at no cost.

Private insurance for ABA: who does LEARN work with in Arizona?

In Arizona, LEARN Behavioral serves families through its Autism Spectrum Therapies (AST) team, and we are in-network with most private insurance companies and accept all forms of private insurance, as well as Medicaid. Our intake and authorizations team verifies your specific plan’s benefits before therapy begins, so you know what is covered up front, including whether the state mandate applies to your particular plan.

Families across Arizona carry coverage from carriers such as Blue Cross Blue Shield of Arizona, Aetna, Cigna, UnitedHealthcare, and Banner Aetna. Each carrier covers ABA subject to medical necessity and the terms of your specific plan, which is why confirming your individual benefits is an important step. Rather than guessing from a plan name, reach out and let our team check your coverage directly.

Proving medical necessity and handling denials or appeals

Private coverage for ABA depends on medical necessity, meaning you must demonstrate that ABA is the appropriate treatment for your child’s needs. To establish medical necessity in Arizona, you will generally need the following:

  1. A formal autism diagnosis from a licensed physician or other qualified provider.
  2. A treatment plan showing your child’s goals, the recommended type and frequency of care, and how progress will be measured.
  3. Records provided to the insurer on request to show that care is medically necessary and is producing progress.

If a claim or service request is denied, Arizona law gives you the right to appeal directly with your insurer first, generally through informal reconsideration and then a formal appeal. If that does not resolve it, you can request a free external, independent review through the Arizona Department of Insurance and Financial Institutions (DIFI). An independent reviewer then decides the case, and the insurer must follow that decision.

Medicaid coverage for ABA therapy in Arizona

Arizona Medicaid, known as AHCCCS (the Arizona Health Care Cost Containment System), also covers medically necessary ABA therapy for children. Coverage runs through the federal EPSDT benefit for eligible members under 21, with no annual dollar cap, and is delivered through AHCCCS managed care plans with prior authorization required.

Because AHCCCS delivers ABA through contracted managed care plans, the providers that are in-network can change from year to year. If your child is enrolled in AHCCCS, ask your specific managed care plan how to request an ABA authorization and confirm which providers in your area are currently enrolled.

Where to get ABA therapy in Arizona with LEARN

In Arizona, LEARN Behavioral provides in-home, in-school, and center-based ABA therapy for children and young adults through its Autism Spectrum Therapies (AST) team. Our board certified behavior analysts (BCBAs) build an individualized treatment plan for each child, and our behavior technicians (BTs) deliver one-on-one care that focuses on building desired behaviors and reducing interfering and interrupting behaviors.

We serve families and their kids across the Phoenix and Tucson areas. You can explore our Arizona locations, including Phoenix and Tucson.

Ready to begin? Here is a simple path to get started:

  1. Get a written autism diagnosis from a licensed physician or qualified provider.
  2. Contact our intake team to verify your Arizona benefits for your kids and confirm your plan type.
  3. Begin an assessment, after which your BCBA builds your child’s individualized treatment plan.

To take the next step, learn about our ABA therapy services and contact our intake team.

Frequently asked questions

Does private insurance cover ABA therapy in Arizona?

For most families with a large-employer plan, yes. Arizona requires state-regulated group plans to cover medically necessary behavioral therapy, including ABA, without a dollar cap. The mandate does not reach individual-market plans or small-employer plans (2 to 50 workers), so if you buy coverage on your own or work for a small business, ABA coverage depends on your specific policy rather than state law.

Is there an age limit for ABA coverage in Arizona?

No. Arizona removed the last age-based limits from its autism insurance law in 2025. Coverage now applies without an age cutoff for the private plans the mandate reaches, a change from the law’s original 2008 version.

Is there a dollar cap on ABA in Arizona?

No, not anymore. Arizona’s original 2008 law set tiered caps of $50,000 and $25,000 depending on age. A 2025 amendment removed those caps entirely for the plans the law covers, so ordinary cost sharing, not a special dollar limit, is what applies.

Does the Arizona mandate cover my plan if I bought it on my own?

Not necessarily. The state mandate excludes individual-market policies and small-employer plans with 2 to 50 employees. If you have one of these plans, ask your insurer directly whether autism and ABA coverage is included, since it is not guaranteed by this particular state law.

Does Arizona require licensure for behavior analysts?

Yes, and it has for some time. Arizona has licensed behavior analysts through its Board of Psychologist Examiners since roughly 2010, putting it among the first states to regulate the profession this way. Practicing without that license is a class 2 misdemeanor.

Does Medicaid cover ABA therapy in Arizona?

Yes. Arizona’s Medicaid program, AHCCCS, covers medically necessary ABA for eligible children under 21 through the EPSDT benefit, with no annual dollar cap, and it is delivered through managed care plans with prior authorization.

Which insurers does LEARN Behavioral work with in Arizona?

In Arizona, LEARN Behavioral serves families through Autism Spectrum Therapies (AST) and works with most private insurers as well as Medicaid. Because plan terms and eligibility for the state mandate vary, our intake team confirms your exact coverage before therapy begins.

Choosing An ABA Provider: 10 Essential Questions For Parents

Choosing an ABA provider is an important decision, and it can feel overwhelming.

After receiving an autism diagnosis and a recommendation for applied behavior analysis (ABA) services, many families have questions about how ABA may help, what services will look like, and who will be working with their child. It’s also important to consider practical issues, including how much treatment will cost, how quickly services can begin, and what to do if concerns arise. Preparing questions in advance and understanding insurance, costs, authorizations, and billing can make it easier when choosing an ABA provider. This blog also covers how to choose an ABA provider and common questions to ask ABA provider teams before you start.

Helpful resources exist to evaluate providers clinically. The Council of Autism Service Providers (CASP), through its parent resource The Spectrum, offers “10 Must-Ask Questions When Interviewing ABA Providers,” which guides families in assessing clinical qualifications, treatment approach, supervision, and family involvement.

This blog focuses on the practical side of accessing ABA services and answers the questions: What should I look for when choosing an ABA provider? How do I verify the credentials of an ABA therapist? What questions should I ask an ABA clinic before enrolling my child? How important is experience with my child’s age and needs when selecting an ABA provider? Should I choose in-home, clinic-based, or school-based ABA services?

We recommend asking these 10 questions before choosing an ABA provider.

1. Are you in-network with my insurance?

“Do you accept my insurance?” and “Are you in-network with my specific plan?” can yield different answers. Ask whether the provider is in-network with your plan and whether the services recommended are covered. Also, contact your insurance company to confirm benefits, including deductibles, coinsurance, copays, prior authorization requirements, and any limits.

2. What will my family’s financial responsibility be?

Insurance coverage does not always mean services are free. Request an estimate of out-of-pocket costs, including deductibles, copays, and coinsurance, and ask how costs might change if the service authorization changes. Clarify how the provider’s billing translates into your monthly statements and make sure the cost of ABA therapy is explained in writing. Understanding the cost of ABA therapy helps you compare options when choosing an ABA provider.

Tip: Ask the provider and your insurance the same questions from #1 and #2. Comparing answers can reveal issues before services begin.

3. Could my child qualify for Medicaid as secondary insurance?

Depending on your state, a child with a disability may qualify for Medicaid even if the family has private insurance. Medicaid as secondary coverage may help with costs your primary plan doesn’t cover. Ask whether your child may qualify, which program to apply for, how to apply, and whether the provider can help you understand the process. Confirm the provider is in-network with any plan you plan to use.

4. Do you offer financial assistance or payment options?

If you expect out-of-pocket costs, ask about financial assistance, payment plans, or other resources to help manage expenses. Discuss options before services begin so you understand choices before receiving a bill.

5. Who handles prior authorization and insurance appeals?

Many plans require prior authorization before ABA starts and renewals as treatment continues, often every six months. Ask whether the provider manages authorizations, what happens if fewer hours are approved or coverage is denied, and whether the provider supports appeals. You may need to provide consent for the provider to appeal on your behalf. These are key questions to ask ABA provider teams to help you choose an ABA provider who will advocate for your child.

6. How soon could my child start services, and will availability meet our needs?

A provider may be in-network but have limited availability. Ask about expected start times and whether services are available at the location, on the days, and at the times that fit your schedule. If there’s a waitlist, ask about updates and interim resources. Also ask whether they offer in-home, clinic-based, or school-based ABA services, and which setting they recommend for your child’s goals and your family’s routine.

7. How will billing and claims be handled?

Ask who submits claims, how often you’ll receive bills, and whom to contact with questions. Inquire how denied or incorrectly processed claims are handled and whether the billing team helps resolve discrepancies. Request plain-language explanations so you can compare bills with your Explanation of Benefits (EOB). If you want ABA billing and claims explained clearly, ask for an orientation session or a written guide. Having ABA billing and claims explained up front reduces surprises and supports informed decision-making when choosing an ABA provider.

8. How can I access my child’s records?

Ask how to access your child’s assessment, treatment plan, progress notes, and reports; how to request records; and typical turnaround times. Families should feel comfortable asking for information and understanding what it means.

9. What is your grievance or complaint process?

Even with a positive relationship, questions or concerns can arise. Ask who to contact, whether there’s a formal grievance process, how concerns are reviewed, and how outcomes are communicated. Providers who value partnership are transparent about how they address concerns.

10. What should I expect to see on my Explanation of Benefits (EOB)?

An EOB is generally not a bill. It shows how a claim was processed: the amount billed, allowed, paid by insurance, and your responsibility. Review your EOB and compare it with any bill. If something doesn’t make sense, contact the provider’s billing department or your insurer.

Verifying credentials and matching experience

When choosing an ABA provider, verify that clinical leads are board certified behavior analysts (BCBAs) in good standing and, where required, licensed. Ask for certification numbers and check the BACB registry. Ask about experience with your child’s age, communication level, and co-occurring needs; experience that closely matches your child is important when choosing an ABA provider. These are essential questions to ask ABA provider staff before enrolling.

Service setting: in-home, clinic-based, or school-based?

Each setting offers pros and cons. In-home can support routines and parent training; clinic-based may allow focused, distraction-reduced learning and peer interaction; school-based can coordinate with educational goals. Ask which setting the provider recommends for your child and whether you can combine settings over time. How to choose an ABA provider often depends on the setting that best supports your goals and schedule.

Parent Tip: Don’t assume your family earns too much for Medicaid.

Eligibility for children with disabilities may differ from income-based Medicaid. Depending on your state and your child’s circumstances, a child may qualify based on disability, even if the family has private insurance. If you think your child may qualify, ask your state’s Medicaid program or a benefits specialist about eligibility and how to apply.

One final piece of advice

You don’t need to be an insurance expert to ask good questions. A reputable provider will explain financial responsibility, help you understand authorizations and billing, respect your rights as a client, and answer questions about care. The more you understand before services begin, the better prepared you’ll be to make an informed decision. Also, ask about provider credentials, experience with your child’s age and needs, and whether in-home, clinic-based, or school-based services are available and appropriate—core steps in choosing an ABA provider and key questions to ask ABA provider teams.

Additional Resources

For evaluating provider quality, The Spectrum from the Council of Autism Service Providers (CASP) offers “10 Must-Ask Questions When Interviewing ABA Providers,” with guidance on qualifications, clinical practices, supervision, and family involvement.

Autism Learning Center Opens Doors in Norco, CA with Ribbon-Cutting Celebration

AST welcomes families to their new location.

Autism Spectrum Therapies (AST), a provider of LEARN Behavioral, officially opened the doors of its new Norco Learning Center with a ribbon-cutting celebration on October 6, 2026.

Hosted by the Norco Area Chamber of Commerce, the ribbon-cutting ceremony was held at the new Norco Learning Center at 1731 Third St, Norco, CA 92860.

During the ceremony, Jamie Ball, president and CEO of Norco Area Chamber of Commerce and Visitors Center, and Sarah Azevedo, Representative for Assemblywoman Natasha Johnson, shared greetings and remarks. Members of the Norco Area Chamber of Commerce and other guests were in attendance.

Ribbon-cutting attendees were able to tour the facility, enjoy light refreshments, and meet Bri Waterbury, M.A., BCBA, Regional Clinical Director, Hayley Peck, M.A., BCBA, Senior Regional Director, and their team of board certified behavior analysts (BCBAs) and behavior technicians (BTs).

“AST is excited to bring compassionate, high-quality ABA therapy to families throughout the Inland Empire,” said Bri Waterbury, Regional Clinical Director. “We tailor our services to each child and family, providing engaging, evidence-based care in an environment designed to help children build skills, confidence, and independence.” 

AST provides contemporary applied behavior analysis (ABA) center-based autism services for children ages 1-12 years. The Norco Learning Center provides center-based ABA therapy, parent education, and Social Skills Programs. Outside the center, the Norco team provides ABA support in the home and community settings.

Flexible treatment hours, including after-school and weekend hours, are available to accommodate busy family schedules. There is no wait list. The Norco Learning Center is conveniently located adjacent to Riverside Community College and is easily accessible via I-15 for families in the region.

“We’re proud to be part of the Norco community—and deeply committed to helping families thrive,” said Hayley Peck, Senior Regional Director.

At ribbon left to right: Grace Ann Zialcita; Cassie Milliken; Karleigh Gallow; Mia Berry; Zaylee Carrillo; Jamie Ball, president and CEO of Norco Area Chamber of Commerce and Visitors Center; Bri Waterbury, Regional Clinical Director; Hayley Peck, Senior Regional Director; Carlette Sheffield; Matthew Bencito; Joanie Gonzales; Desirae Garcia

Open House in November

Families are invited to a sensory-friendly open house and fall carnival at the Norco Learning Center on November 14, 2026, from 11 a.m. to 1 p.m. This event will feature an opportunity to meet the team, along with sensory-friendly fall-themed activities for guests to enjoy in a welcoming, inclusive environment.

For more information or to enroll a child at the Norco Learning Center, call (866) 727-8274or visit https://autismtherapies.com/locations/inland-empire

About AST

AST, part of the LEARN Behavioral network, is one of the nation’s leading providers of compassionate autism care. In addition to the Norco Learning Center, AST has ABA therapy locations in Azusa, Chula Vista, Long Beach, Menifee, Ontario, Orange, Riverside, San Gabriel, San Marcos, Santa Ana, Temecula, and Victorville.

About LEARN Behavioral

LEARN Behavioral is a national leader in autism care, offering comprehensive diagnostic services and contemporary applied behavior analysis (ABA) therapy for children with autism spectrum disorder (ASD). With a nationwide network of ABA providers and more than 150 Learning Centers across the country, LEARN delivers the highest standard of evidence-based care—customized to meet the unique needs and interests of each child and family. For more information, visit learnbehavioral.com.

Applied Behavior Analysis (ABA) Therapy with Autism Spectrum Therapies

Not all ABA providers are created equally. At Autism Spectrum Therapies, we tailor treatment to your child’s individual needs, using contemporary ABA therapy, combined with clinical insights and best practices refined over more than a decade of serving the autism community.

Autism Diagnosis Without Bias: Eye Gaze Technology and Equity in Action

Dr. Hanna Rue and Jonathan Lehmann join us to discuss the importance of early diagnosis and the potential of a new tool aimed at addressing health disparities, particularly for families from diverse backgrounds. In this episode, we explore the application of the EarliPoint device, which uses eye gaze tracking technology to diagnose autism in children aged 16 to 30 months. Dr. Hanna Rue emphasizes, “We all know that access to diagnostics can be extremely challenging. Within the Boston area, some families are waiting three years. Research supports that the earlier you start with services, the better outcomes you have.”

View the transcript, show notes, and previous episodes at: https://www.allautismtalk.com/episodes/eye-gaze-technology-and-equity-in-action

All Autism Talk is sponsored by LEARN Behavioral.

New Autism Learning Center Opens Doors in Ontario, CA

Flexible Hours and No Wait List for San Bernadino County Families

Autism Spectrum Therapies (AST), a provider of LEARN Behavioral, is proud to announce the opening of its new 4684 Ontario Mills Parkway, Suite 100, Ontario, CA 91764.

AST provides contemporary applied behavior analysis (ABA) center-based autism services for children ages 1-14 years. The Ontario Learning Center provides center-based ABA therapy, Early Intervention services, caregiver education, Social Skills Programs, and after-school programming. Outside of the center, the Ontario team offers in-home and school-based ABA therapy.

“We’re excited to have the opportunity to partner with new families in the Central Inland Empire area and look forward to helping find success for every child in our care,” said Hayley Peck, M.A., BCBA, Senior Regional Clinical Director. 

Key Features of the Ontario Learning Center:

  • Second largest facility in the region, featuring an indoor gross motor area and play structure for physical and social development, along with individual treatment rooms.
  • ABA therapy, which includes a learning-rich environment, unique play-based learning spaces, and one-on-one support.
  • Social Skills development and after-school programs offered.
  • Flexible treatment hours and hybrid schedules to accommodate busy family schedules.
  • Serving children 1-14 years old.
  • Conveniently located near Ontario Mills outlet mall and easily accessible via I-10 and I-15, as well as via public transportation for families in the region.

The new Ontario location is enrolling new clients with no wait list.

About AST

AST, part of the LEARN Behavioral network, is one of the nation’s leading providers of compassionate autism care. In addition to the Ontario Learning Center, AST has ABA therapy locations in Azusa, Chula Vista, Long Beach, Menifee, Norco, Orange, Riverside, San Gabriel, San Marcos, Santa Ana, Temecula, and Victorville.

For more information or to enroll a child at the Ontario Learning Center, call (866) 727-8274 or visit https://autismtherapies.com/locations/inland-empire

About LEARN Behavioral

LEARN Behavioral is a national leader in autism treatment, offering comprehensive diagnostic services and contemporary applied behavior analysis (ABA) therapy for children with autism spectrum disorder (ASD). With a nationwide network of ABA providers and more than 100 Learning Centers across the country, LEARN delivers the highest standard of evidence-based care—customized to meet the unique needs and interests of each child and family. For more information, visit learnbehavioral.com.

New Autism Learning Center Opens Doors in Norco, CA

Flexible Hours and No Wait List for Inland Empire Area Families

Autism Spectrum Therapies (AST), a provider of LEARN Behavioral, is proud to announce the opening of its new Norco Learning Center at 1731 Third St, Norco, CA 92860.

AST provides contemporary applied behavior analysis (ABA) center-based autism services for children ages 1-12 years. The Norco Learning Center provides center-based and in-home ABA therapy, parent education, and Social Skills Programs.

“We’re excited to have the opportunity to partner with new families in Riverside County and look forward to helping find success for every child in our care,” said Bri Waterbury, M.A., BCBA, Regional Clinical Director.

Key Features of the Norco Learning Center:

  • Large facility, which includes an indoor play structurefor physical and social development, as well as small group rooms.
  • ABA therapy, which includes a learning-rich environment, unique play-based learning spaces, and one-on-one support.
  • A unique combination of center-based and in-home services to best cater to families’ needs.
  • Social Skills Programs, including seasonal programming.
  • Flexible treatment hours, including after-school and weekend hours, to accommodate busy family schedules.
  • Serving children 1-12 years old.
  • Conveniently located adjacent to Riverside Community College and easily accessible via I-15 for families in the region.

The new location in Norco is enrolling new clients with no wait list.

About AST

AST, part of the LEARN Behavioral network, is one of the nation’s leading providers of compassionate autism care. In addition to the Norco Learning Center, AST has ABA therapy locations in Azusa, Chula Vista, Long Beach, Menifee, Orange, Riverside, San Gabriel, San Marcos, Santa Ana, Temecula, and Victorville, as well as a corporate office in Ontario. AST is also opening a Learning Center in Ontario later this spring.

For more information or to enroll a child at the Norco Learning Center, call (866) 727-8274or visit https://autismtherapies.com/locations/inland-empire

About LEARN Behavioral

LEARN Behavioral is a national leader in autism treatment, offering comprehensive diagnostic services and contemporary applied behavior analysis (ABA) therapy for children with autism spectrum disorder (ASD). With a nationwide network of ABA providers and more than 100 Learning Centers across the country, LEARN delivers the highest standard of evidence-based care—customized to meet the unique needs and interests of each child and family. For more information, visit learnbehavioral.com.

Unlocking Communication: The Story of PECS with Dr. Andy Bondy & Lori Frost

In this episode, we’re joined by Dr. Andy Bondy and his wife, Lori Frost, MS, CCC-SLP, who are the co-founders of Pyramid Educational Consultants, Inc. They’re also the creators of the Picture Exchange Communication System (PECS). Together, they share about the origins and updates of PECS, their work around the world, and the release of the 3rd Edition of the PECS Manual.

We explore the importance of everyday language when discussing effective teaching strategies, the power of collaborative teamwork, and the need for truly individualized support. Andy and Lori also provide a forward-looking perspective on the future of PECS and emphasize why embracing cross-cultural understanding is essential for effective communication.

Join us for this insightful conversation that offers evidence-based communication practices designed to empower parents, educators, and clinicians. 

View the transcript, show notes, and previous episodes at: https://www.allautismtalk.com/episodes/the-story-of-pecs

All Autism Talk is sponsored by LEARN Behavioral.

BCaBA vs BCBA: What’s the Difference Between a BCaBA and a BCBA? 

When pursuing a career in autism therapy, it’s essential to understand the qualifications and roles of professionals in the field. 

Two key titles you will encounter are known as board certified behavior analysts (BCBAs) and board certified assistant behavior analysts (BCaBAs). Though they sound similar, they have distinct differences.

The main difference between the BCaBA vs BCBA titles is the level of education and supervision required for each. Let’s explore more about each role.

BCaBA vs BCBA Requirements: What Level of Education Do I Need?

The titles “BCaBA” and “BCBA” are the two main certifications in the field of applied behavior analysis (ABA) therapy. That may sound like a lot of alphabet soup, but let’s break it down:

  • A BCaBA requires a bachelor’s degree, while a BCBA requires both a bachelor’s and master’s degree. 

The roles also require a different level of supervision.

  • A BCaBA can’t practice without supervision from a BCBA or BCBA-D (doctoral-level BCBA). A BCBA can practice independently and supervise others.

What Does the Coursework Include?

There is a difference between BCBA and BCaBA coursework required. To become a BCBA, coursework covers ABA therapy for autism, ethics, measurement, experimental design, and behavior assessment. Additionally, candidates must complete supervised fieldwork and pass the BCBA exam.

For BCaBA certification, a minimum of a bachelor’s degree in behavior analysis, education, or a related field is required. Like the BCBA, candidates need coursework in ABA, ethics, measurement, experimental design, and behavior assessment. They also need to complete supervised fieldwork and pass the BCaBA exam.

Both certifications require continuing education to stay up to date with the latest advancements in the field. 

BCBA vs BCaBA: What Do They Do?

BCaBAs and BCBAs both work with people who have developmental disabilities, such as autism, to help them change their behavior and lead more fulfilling lives. 

These professionals use scientific approaches such as ABA therapy. They work in a variety of settings, including schools, homes, learning centers, and the community.

BCaBAs and BCBAs conduct assessments, develop individualized treatment plans, and work with families who have kids on the autism spectrum.

How Much Autonomy Does a BCBA vs BCaBA Have?

Supervision requirements and levels of autonomy differ between BCaBAs and BCBAs. BCBA candidates need a minimum of 1,500 hours of supervised experience, including at least 75 hours of face-to-face supervision from a qualified BCBA. BCaBA candidates require 1,000 hours of supervised experience, with at least 50 hours of face-to-face supervision.

One difference between a BCaBA and BCBA is that BCBAs generally have more autonomy, conducting assessments, developing behavior plans, and directly supervising others. BCaBAs, while crucial in treatment, work under a BCBA’s guidance, using behavior plans and collecting data. Together, they use evidence-based interventions tailored to each person’s needs. 

What Kinds of Career Opportunities Are Available for a BCBA vs BCaBA?

Career prospects for BCBAs and BCaBAs are promising, driven by the growing demand for autism therapies. BCBAs can work in schools, clinics, and private practices, often holding supervisory roles and conducting assessments.

Both roles offer advancement opportunities. BCBAs can pursue advanced certifications like BCBA-D, leading to higher-level positions and research opportunities. BCaBAs can gain experience, pursue higher education, and take on more responsibilities, such as supervising other BCaBAs.

Specializations within behavior analysis — such as early intervention or verbal behavior — allow professionals to focus their expertise and advance their careers. Staying informed and pursuing ongoing professional development can lead to successful and fulfilling careers in autism therapies.

BCaBA Salary vs BCBA Salary: What’s the Difference?

Across the country, BCBA salaries typically range from $55,000 to $85,000 per year, influenced by experience, location, and work setting. BCaBAs earn between $35,000 and $55,000 per year, with similar influencing factors.

Geographic location, level of experience, specialization, and work setting all affect BCBA vs BCaBA salary levels. BCBAs and BCaBAs working in educational institutions or private clinics may earn higher salaries compared to those in nonprofit organizations.

While BCaBAs earn lower salaries, they play a crucial role in providing behavior analysis services under BCBA supervision. Ultimately, career goals, desired responsibility level, and commitment to professional development should guide the choice between these positions.

BCBA or BCaBA: How Do You Choose the Right Career Path?

If you’re seeking a career in autism therapy, both roles are crucial positions. You can start at one level and work your way up through education and experience. It’s common for people to earn an assistant certification before working toward becoming a BCBA.

Many BCBAs first earn a bachelor’s degree in psychology, education, or ABA, then pursue a master’s degree in ABA or a related field. The job growth rate for BCBAs is projected to be 8 percent from 2020 to 2030, which is faster than average for psychologists.

To learn more about BCBA or BCaBA job opportunities available at LEARN, visit our careers page.

Why Play is Essential to ABA Therapy for Autistic Children

Play is an essential part of working with children with autism in ABA.

As a behavior technician (BT), play helps build trust and comfort between you and your client. That process starts with play, having fun, and being a kid. Getting your clients in a state of play builds this foundation for trust, which we refer to as “rapport.” When starting to work with a new client, your supervisor and/or client’s caregiver will provide you with some of your client’s special interests and activities. You can incorporate these into your sessions to make learning fun and personalized. Using rapport in combination with their preferred activities leads to successful pairing with your client.

In a Learning Center setting, for example, your supervisor may suggest activities such as playing with toys or board games or interacting with peers. Your client may quickly find interest in a Learning Center toy, game, or other activity without prompting. But, if your client doesn’t give you a direct response, give them choices based on what you know about them. For example, say “We can play with train tracks or do a puzzle. What would you like to do?” Give them different choices until they choose something.

As soon as they give you an answer or show signs of interest in something, reinforce the toy or activity by showing interest in it yourself, e.g., clapping or showing praise. In my experience, this part of the pairing process varies. Sometimes it may take a while for a client to warm up in a social environment. Other times, it happens quickly. It just depends on the individual. As a BT, this process teaches you to be patient. When you find out what interests your clients, it makes pairing with them in sessions more fun.

Natural Environment Teaching (NET) While Pairing

Playing and pairing as a BT is essential because it creates opportunities for natural environment teaching (NET). Playing with your clients encourages an environment in which they’re motivated to participate.

In my first week working with a client, we played Memory*, a matching game. This was the first time we actively played together, and I saw him deeply engaged in an activity. I learned that he has a great memory, making the game more engaging for both of us. He became more receptive to responding once his attention was directed toward the game. Playing the game created opportunities to reinforce his behavior like waiting his turn, following the rules, and using his words when he had questions. This was essential to pairing early on in our tech-to-client relationship.

Playing Memory aided me in building rapport with my client. It built trust and comfort that’s pertinent to his learning environment. I could tell he was having a good time and vice versa. This environment motivated my client to learn. He enjoyed engaging in the fun activity with me and a group of peers. Participating in group games encourages patience, following instructions, and communication between clients.

Let Play Be Your Guide

Gaining your client’s trust before you place any demands is key. They are less likely to listen to you if they don’t know who you are. That’s why it’s important to take the time to play and pair with your client and show them that you’re safe and fun to be around.

Learning to play with your clients teaches you their interests. It shows you their likes and dislikes. It also points you to different games or activities in the Learning Center or teaching environment that may trigger them. Knowing their interests allows you to identify their reinforcers and see behavior patterns that their board certified behavior analyst (BCBA) can implement into future programming.

Time Flies When You’re Having Fun

Playing can be a lot of fun for BTs. There are several Learning Center games and activities that I enjoy implementing during sessions. I do my best to engage clients in activities that we mutually like. Once we find something we both enjoy, it doesn’t feel like work.

It’s rewarding to see clients make progress on their goals. Seeing them motivated to work for their preferred activities is also reassuring. This sense of accomplishment reinforces your work as a BT and motivates a continued state of play of learning and developing communication skills.

Incorporating play into your sessions fosters meaningful connections and creates a fun and engaging environment. It builds the foundation of trust between the client and their BT. We get to play an important role in each client’s learning and development. We can help nurture each child’s unique potential through dedication – one game at a time.

Additional Resources:

*Other games for pairing with a client can be found in the Play and Learning Addendum, 2.