Positive Reinforcement for ABA Therapy: What Is It And How Is It Used?

Positive reinforcement is a foundational concept in Applied Behavior Analysis (ABA) therapy. It is one of the most effective, research-backed strategies for encouraging lasting behavioral change, especially for children with autism and developmental delays. At Cardinal Pediatric Therapies, we use positive reinforcement every day to help children learn new skills, gain independence, and build confidence.

In this article, we explain what positive reinforcement for ABA therapy is, how it works, and why it plays such a vital role in helping children achieve meaningful progress in behavior, communication, and daily living.

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What Is Positive Reinforcement?

Positive reinforcement involves delivering a reward or motivating consequence immediately after a desired behavior occurs. The goal is to increase the likelihood that the behavior will happen again in the future.

Rather than focusing solely on correcting negative behaviors, positive reinforcement emphasizes what a child is doing right. This creates a more encouraging, supportive environment where learning feels rewarding and progress is acknowledged.

In the context of ABA therapy, positive reinforcement is not one-size-fits-all. It is carefully customized to fit each child’s needs, preferences, and developmental goals.

How Positive Reinforcement Is Used in ABA Therapy

Identifying Target Behaviors

The first step in using positive reinforcement in ABA therapy is identifying target behaviors. These are specific skills or actions the therapist and family want the child to develop. Common examples include:

  • Using verbal or nonverbal communication
  • Following instructions
  • Practicing self-care (e.g., brushing teeth, putting on shoes)
  • Engaging in appropriate social interactions
  • Completing academic tasks or routines

Target behaviors are selected based on the child’s individual goals, and the ABA team defines clear criteria for what counts as success. By pinpointing exactly what to reinforce, therapists create opportunities for consistent learning.

Choosing Effective Reinforcers

Not every reward is motivating to every child. That’s why ABA therapists conduct preference assessments to determine which reinforcers will be most effective for each individual. Reinforcers can be:

  • Tangible Items: Toys, snacks, stickers
  • Social Praise: High-fives, clapping, enthusiastic verbal praise
  • Activities: Access to a favorite game, music, or break time
  • Sensory Experiences: Swinging, playing with textures, using a weighted blanket

The goal is to match the reinforcer to what the child finds meaningful, making the experience of success both enjoyable and memorable.

Prompting and Reinforcing Desired Behaviors

Once a behavior is defined and the reinforcer is selected, ABA therapists use prompts and cues to help the child understand what is expected. Prompts may be physical, verbal, visual, or gestural, depending on the child’s learning style.

When the child performs the target behavior, the therapist immediately delivers the positive reinforcement. The timing is key. Reinforcement must follow the behavior right away to create a strong connection in the child’s mind.

For example:

  • A child asks for a toy using sign language and receives the toy with a smile and praise.
  • A child remains seated during a group activity and gets a high-five and access to a favorite sticker.

This consistent feedback shows the child that their actions lead to positive outcomes, encouraging them to repeat the behavior.

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Shaping and Generalizing Skills

In ABA therapy, therapists often use a technique called shaping to reinforce small steps toward a more complex goal. For example, suppose the target behavior is brushing teeth independently. In that case, therapists may start by reinforcing the child for picking up the toothbrush, then for putting toothpaste on it, and so on.

As the child becomes more confident, the reinforcement criteria are adjusted. This gradual process leads to skill development through successive approximations.

The ultimate goal is for the child to generalize the skill across environments, using it not just during therapy but also at home, in school, and the community.

Keeping Motivation High

Consistency and motivation are crucial in ABA therapy. Positive reinforcement helps children stay engaged, even during challenging or unfamiliar tasks.

When a child feels successful and recognized, they are more likely to participate actively in therapy sessions. This emotional boost builds self-esteem and reinforces the connection between effort and reward.

At Cardinal Pediatric Therapies, our therapists make reinforcement a central part of every session, helping children enjoy the learning process while reaching their goals.

Fading Reinforcement Over Time

As behaviors become stronger and more consistent, therapists begin the process of fading reinforcement. This means gradually reducing the frequency, intensity, or visibility of rewards so that the behavior becomes self-sustaining.

For example:

  • A sticker that was once given every time the child completed a task may shift to every other time, then once a day, then once a week.
  • Social praise may continue intermittently to maintain the behavior, even after other reinforcers are removed.

This step helps children build intrinsic motivation and prepares them for real-world environments where constant rewards are not always present.

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Why Positive Reinforcement Works in ABA Therapy

Positive reinforcement is effective because it is:

  • Predictable: Children understand that their behavior leads to a specific outcome.
  • Motivating: It aligns with the child’s preferences, making success enjoyable.
  • Flexible: It can be customized and adapted over time.
  • Encouraging: It focuses on what children are doing well, not just what they need to change.

When used consistently and intentionally, positive reinforcement promotes lasting behavior change, supports emotional growth, and empowers children to reach their full potential.

How Cardinal Pediatric Therapies Uses Positive Reinforcement

At Cardinal Pediatric Therapies, we incorporate positive reinforcement into every aspect of our ABA therapy programs. Whether a child is working on communication, social skills, or independence, reinforcement is a tool we use to guide, celebrate, and motivate.

Here is how we make it part of our approach:

  • Individualized Therapy Plans: We design each ABA program around the child’s strengths, needs, and motivators.
  • Parent Collaboration: We coach parents on how to use positive reinforcement at home for consistency.
  • Evidence-Based Methods: We rely on proven techniques to help children learn in a way that is engaging and supportive.
  • Goal Tracking and Data Analysis: Our therapists measure outcomes and adjust reinforcement strategies to reflect progress.

Our clinics and in-home programs across Arizona and North Carolina are designed to create a positive, structured environment where children feel safe, seen, and celebrated.

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Get Started With Cardinal Pediatric Therapies!

Positive reinforcement is more than a strategy. It is a mindset that focuses on growth, possibility, and empowerment. In ABA therapy, it serves as the foundation for teaching meaningful skills and promoting long-term success.

At Cardinal Pediatric Therapies, we believe every child deserves to feel proud of their progress and motivated to keep learning. Through the thoughtful use of positive reinforcement, we help children build confidence, strengthen relationships, and develop the tools they need to succeed at home, at school, and beyond.

If you are searching for ABA therapy services in Arizona or North Carolina, contact Cardinal Pediatric Therapies today to learn how our team can support your child’s growth through evidence-based, positive approaches.

10 Tips To Prep Your Home for In-Home ABA Therapy 

In-home ABA therapy provides children with autism spectrum disorder (ASD) the opportunity to receive high-quality, individualized support in a familiar, comfortable environment. However, to maximize the benefits of these sessions, it’s important to take intentional steps to create a space that is safe, structured, and ready for learning.

At Cardinal Pediatric Therapies, we offer in-home ABA therapy across Arizona and North Carolina, and we know that a well-prepared home environment plays a key role in achieving successful outcomes.

Here are 10 essential tips to prep your home for in-home ABA therapy so your child can get the most from every session.

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1. Create a Dedicated Therapy Space

Start by designating a consistent, distraction-free area in your home where therapy sessions will take place. This could be a spare room, a quiet corner of a larger room, or any low-traffic space where your child can focus.

Ensure the space is:

  • Well-lit and comfortable
  • Free from clutter and unnecessary items
  • Reserved for therapy-related activities

Having a designated therapy area helps reinforce structure, enhances focus, and signals to your child that it’s time to engage in learning.

2. Remove Hazards and Breakables

Safety is a top priority during in-home ABA therapy. Take the time to childproof the therapy space and any areas your therapist may access during sessions. Remove fragile decorations, sharp objects, electrical cords, and choking hazards.

If therapy involves movement or gross motor activities, ensure the area is free from tripping hazards. A safe environment allows your child and therapist to focus entirely on progress without unnecessary risk.

3. Provide Easy Access to Reinforcers

Positive reinforcement is a key strategy in ABA therapy. Make sure preferred reinforcers—such as small toys, snacks, stickers, or sensory items—are easily accessible during sessions.

Keep them:

  • Organized in a bin or drawer near the therapy area
  • Clearly labeled if possible
  • Rotated regularly to maintain interest

Quick and easy access to reinforcers ensures that your child receives immediate feedback and motivation, which supports learning and behavior improvement.

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4. Communicate with Family Members

Let other household members know when therapy sessions will take place, and ask for their cooperation in maintaining a quiet, respectful environment. This reduces disruptions and helps your child focus.

Create a routine around therapy that the whole family understands. Consider placing a sign on the door to indicate when therapy is in session. Minimizing background noise and interruptions supports a more productive environment.

5. Establish Consistent Routines

Consistency is essential for children receiving ABA therapy. Help your child succeed by sticking to a predictable daily routine that includes:

  • Start and end times for therapy
  • Scheduled breaks or rewards
  • Clear transitions between therapy and play or family time

Using visual schedules or routine charts can help your child understand expectations and reduce anxiety, especially if they are still building communication skills.

6. Collaborate with Your ABA Therapist

Open communication with your child’s ABA therapist is crucial. Talk about how to set up your space, what reinforcers work best, and how to handle potential behavior triggers at home.

Discuss:

  • Your child’s preferences and sensitivities
  • Household routines that may impact therapy
  • Any adaptations needed for the therapy environment

Working as a team helps the therapist tailor strategies to your home and lifestyle, increasing the effectiveness of in-home sessions.

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7. Prepare Materials and Resources in Advance

Stay organized by gathering all materials needed for therapy and keeping them in a consistent location. This may include:

  • Visual supports and communication boards
  • Data collection sheets
  • Worksheets or flashcards
  • Fine motor tools or toys used for reinforcement

Ask your therapist what resources are needed and how best to store them. Being prepared helps maximize the time spent in each session.

8. Optimize Lighting and Minimize Noise

Children with autism often have sensory sensitivities that can affect how they respond to their environment. Make sure the therapy space is:

  • Well-lit with natural light or soft lighting
  • Free from harsh overhead lights or flickering bulbs
  • Quiet, with background noise kept to a minimum

Avoid distractions such as TVs, loud appliances, or conversations in nearby rooms. This will help your child stay focused and reduce the risk of overstimulation.

9. Familiarize Your Child with the Therapist

Introduce your child to their ABA therapist before the first session. Show them a picture, talk about their role, and explain how they’re there to help.

You can say something like:

  • “This is your helper. They’re going to play games with you and teach you new things.”
  • “They’ll help you learn how to ask for things and practice fun activities.”

Building familiarity helps reduce anxiety and increases your child’s comfort level when therapy begins.

10. Stay Flexible and Open to Change

Even with preparation, every child and home environment is different. Be willing to adjust based on the therapist’s suggestions or your child’s evolving needs.

Examples of flexibility include:

  • Changing the therapy space setup
  • Adding or removing reinforcers
  • Adjusting lighting or noise levels based on feedback

Being adaptable and responsive to your child’s needs ensures a smoother, more effective therapy experience.

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Get Started With Cardinal ABA Therapy Today!

Preparing your home for in-home ABA therapy is one of the most important steps you can take to support your child’s progress. A calm, organized, and safe environment promotes focus, consistency, and successful learning outcomes.

At Cardinal Pediatric Therapies, our team is committed to helping families across Arizona and North Carolina create a supportive space where therapy can thrive. By following these 10 tips to prep your home for in-home ABA therapy, you can help your child feel confident, engaged, and ready to succeed.

Looking for professional in-home ABA therapy services tailored to your child’s needs?

Contact Cardinal Pediatric Therapies today to learn how we can support your family with compassionate, evidence-based care delivered in the comfort of your home.

ABA Clinics Should Be Ran By BCBAs, Here’s Why:

Applied Behavior Analysis (ABA) therapy has proven to be an effective intervention for individuals with autism spectrum disorder (ASD) and other developmental challenges. When seeking ABA therapy for your child, it is crucial to choose a clinic that is led by Board Certified Behavior Analysts (BCBAs). 

In this blog post, we will explore the reasons why ABA clinics should be run by BCBAs.

  1. Expertise in Applied Behavior Analysis: BCBAs are professionals who have undergone rigorous training and certification in ABA. They possess in-depth knowledge of the principles, methodologies, and techniques of ABA therapy. By having a BCBA at the helm of an ABA clinic, you can be confident that your child will receive therapy based on evidence-based practices and the highest professional standards.
  2. Development of Individualized Treatment Plans: One of the fundamental aspects of ABA therapy is the development of individualized treatment plans that address the specific needs and goals of each child. BCBAs are trained to conduct comprehensive assessments, analyze data, and create tailored treatment plans. Their expertise allows them to design interventions that are customized to the unique strengths and challenges of each child, maximizing the potential for progress and growth.
  3. Supervision and Training of Staff: BCBAs play a crucial role in supervising and training the staff members who provide direct therapy to children in ABA clinics. They ensure that therapists are properly trained in implementing ABA techniques, collecting data accurately, and maintaining consistency in the delivery of interventions. BCBAs provide ongoing supervision and feedback, ensuring that therapists are equipped with the necessary skills to support your child’s development effectively.
  4. Monitoring Progress and Making Adjustments: Monitoring and tracking progress is an essential component of ABA therapy. BCBAs utilize data collection methods to measure the effectiveness of interventions, track progress, and make data-driven decisions. By regularly reviewing and analyzing data, BCBAs can make informed adjustments to treatment plans, ensuring that therapy remains effective and targets the child’s evolving needs.
  5. Addressing Challenging Behaviors: Challenging behaviors are often a focus of ABA therapy, and BCBAs are highly skilled in behavior management techniques. They can assess the underlying causes of challenging behaviors, develop behavior intervention plans, and guide therapists and parents in implementing effective strategies. BCBAs possess the knowledge and expertise to address challenging behaviors proactively and promote positive behavior change.
  6. Collaboration with Families: BCBAs emphasize collaboration and partnership with families throughout the ABA therapy process. They involve parents as active participants in the treatment, provide training and support, and ensure open communication. BCBAs work closely with families to ensure that therapy goals align with the family’s priorities and that progress extends beyond the clinic and into the child’s natural environment.

Conclusion:

Choosing an ABA clinic that is led by BCBAs is essential for ensuring the highest quality of care for your child. BCBAs bring expertise in ABA principles, develop individualized treatment plans, supervise and train staff, monitor progress, address challenging behaviors, and collaborate with families. Their qualifications and experience contribute to effective and evidence-based therapy that maximizes your child’s potential for growth and success. 

When selecting an ABA clinic, prioritize those led by BCBAs to provide your child with the best possible support on their developmental journey.

What is Parent Training and How Can It Help Your Child With Autism?

Parent training refers to a structured and evidence-based approach that focuses on educating and guiding parents in implementing effective strategies to promote their child’s development and address specific challenges associated with autism. It aims to empower parents to become active participants in their child’s intervention and foster a supportive environment at home.

Key Benefits of Parent Training for Children with Autism:

Enhanced Skill Development – It equips parents with a range of strategies and techniques tailored to their child’s unique needs. These strategies may include communication techniques, behavior management strategies, social skills development, and more. By learning and implementing these techniques, parents can facilitate their child’s skill development and promote positive behaviors.
Consistency and Generalization – Consistency is vital for children with autism, as it helps them generalize skills across different environments. Parent training focuses on teaching parents how to reinforce skills consistently and apply strategies in various settings, such as home, school, and community. This consistent approach increases the likelihood of generalization, allowing children to transfer learned skills to different contexts.
Improved Communication – Communication difficulties are common among children with autism. Parent training often includes techniques to enhance communication skills, such as visual supports, augmentative and alternative communication (AAC) systems, and strategies for promoting language development. By learning these techniques, parents can create a communication-friendly environment and support their child’s language and social communication skills.
Behavior Management – Challenging behaviors can significantly impact a child’s daily life and functioning. Parent training provides parents with effective behavior management strategies, such as reinforcement techniques, token systems, and structured routines. By understanding and implementing these strategies, parents can help manage challenging behaviors and promote more adaptive and positive behaviors in their child.
Increased Parent-Child Bond – Parent training emphasizes a collaborative and nurturing approach between parents and their children. By actively participating in their child’s intervention, parents strengthen their bond and deepen their understanding of their child’s unique needs. This shared experience fosters a stronger parent-child relationship, promoting trust, support, and emotional well-being.

Parent training is a valuable resource for parents of children with autism, offering them the tools and knowledge needed to support their child’s development effectively. By participating in parent training programs, parents can enhance their skills, promote consistency, improve communication, manage challenging behaviors, and strengthen their bond with their child. 

It is essential to consult with professionals or seek out reputable resources to access evidence-based parent training programs that align with your child’s specific needs. With the right guidance and support, parents can make a positive impact on their child’s journey towards reaching their full potential.

Questions to Ask Before Choosing an ABA Therapist for Your Child

Choosing the right ABA therapist for your child is one of the most important decisions you’ll make on your family’s autism treatment journey. Applied Behavior Analysis (ABA) is one of the most effective, evidence-based approaches for children with autism spectrum disorder (ASD). However, not all ABA providers are created equal. Knowing the right questions to ask before choosing an ABA therapist can help ensure your child receives the highest quality care tailored to their individual needs.

Whether you’re just beginning to explore therapy options or preparing to switch providers, this guide from Cardinal Pediatric Therapies will help you navigate the essential questions to ask, enabling you to make an informed and confident decision.

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Why Choosing the Right ABA Therapist Matters

ABA therapy focuses on teaching meaningful life skills and reducing problematic behaviors through data-driven, individualized plans. A great ABA provider will not only offer effective treatment but also collaborate with your family to support your child’s progress at home, school, and in the community.

When you know what to ask when choosing an ABA provider, you can better assess their qualifications, values, and approach to care. These insights will help ensure the therapy aligns with your child’s learning style, developmental needs, and long-term goals.

What Certifications and Qualifications Do the ABA Therapists Hold?

Start by asking about credentials. The gold standard in ABA therapy is the Board Certified Behavior Analyst (BCBA). This credential ensures the professional has completed graduate-level education in ABA, passed a national certification exam, and maintains continuing education.

You may also encounter Registered Behavior Technicians (RBTs), who are paraprofessionals providing direct therapy under the supervision of a BCBA. It’s essential to confirm that RBTs receive regular supervision and that a certified BCBA oversees your child’s care.

Key questions to ask:

  • Are your therapists BCBAs or supervised RBTs?
  • How often does the supervising BCBA observe therapy sessions?
  • What ongoing training do your staff members receive?
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What Is the Provider’s Experience with Children Who Have Similar Needs?

ABA therapy is not one-size-fits-all. Ask about the provider’s experience with children who share similar challenges or diagnoses as your child. A provider with experience working with children at similar developmental levels can better anticipate obstacles, tailor programming, and deliver more meaningful results.

Helpful follow-ups:

  • Can you share examples of past cases similar to my child’s?
  • What age range do you typically work with?
  • Do you have experience with nonverbal children or those with co-occurring conditions?

How Are Individualized Treatment Plans Created?

Effective ABA therapy begins with a thorough initial assessment. From there, your child should receive a customized treatment plan that outlines clear goals, objectives, and teaching strategies.

Ask how these plans are developed and how frequently they’re updated. A strong ABA provider will use ongoing data collection to adapt the plan as your child grows and changes.

What to ask:

  • How do you create personalized ABA goals?
  • How often are goals reviewed and adjusted?
  • What assessments do you use to track progress?

What Is the Role of Parents in the Therapy Process?

Parent involvement is a cornerstone of successful ABA therapy. Skills learned in a clinical setting must be reinforced at home and in the community for long-term success. Ask how the provider involves parents in the treatment process and whether they offer parent training sessions or home-based support services.

Key questions:

  • How often do you communicate with parents?
  • Are parents invited to observe sessions?
  • Do you provide training or strategies to use at home?

How Is Progress Measured and Reported?

ABA is a data-driven approach. The provider should collect data during every session and use it to inform decisions about the treatment plan. Ask how progress is tracked and how frequently it is reported to families.

Important follow-ups:

  • What methods do you use to track skill acquisition and behavior reduction?
  • Will I receive regular updates or progress reports?
  • How do you determine if a goal has been mastered?

How Are Challenging Behaviors Addressed?

Many children with autism exhibit behaviors such as aggression, self-injury, elopement, or tantrums. A qualified ABA provider should have experience addressing these challenges using positive behavior support strategies, not punishment or restrictive measures.

What to ask:

  • How do you assess and respond to challenging behaviors?
  • What interventions do you use to reduce these behaviors?
  • Do you create Behavior Intervention Plans (BIPs)? If so, how are they developed?
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How Do You Ensure Consistency of Care?

Consistency is key to the success of ABA therapy. High staff turnover, inconsistent scheduling, or a lack of communication can undermine your child’s progress. Ask about staffing stability, therapist assignments, and how transitions are handled.

Ask about:

  • Will my child work with the same therapist consistently?
  • How do you handle staff changes or therapist absences?
  • What supervision structure is in place to ensure quality and consistency?

What Is the Provider’s Philosophy and Treatment Environment?

It’s also essential to understand the provider’s treatment philosophy. Are they child-centered and focused on strengths? Do they take a collaborative, compassionate approach? Ask about their therapy environment, whether services are provided at home, in a clinic, at school, or a combination of settings.

Consider asking:

  • What does a typical session look like?
  • How do you make therapy engaging and motivating for children?
  • Do you incorporate naturalistic teaching methods or structured instruction?

Does Insurance cover Services?

Ask about accepted insurance plans, what is typically covered, and whether they offer guidance on verifying benefits. A reputable provider will help you navigate Insurance and provide clear information about costs.

Important topics to cover:

  • Do you accept my insurance plan?
  • Will you help me verify my benefits?
  • Are there any out-of-pocket costs or payment options available?

Can I Speak to Other Parents or Read Testimonials?

Finally, ask for parent references or testimonials. Real experiences from other families can offer insight into what you can expect and help you feel more confident in your decision.

Ask the provider:

  • Do you have testimonials or references from current or former clients?
  • Can I observe a session or tour the facility?
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How to Choose the Right ABA Therapist for Your Child

Finding the right ABA therapist involves more than just scheduling sessions. It’s about partnering with professionals who understand your child’s unique needs, goals, and strengths. By asking the right questions before choosing an ABA therapist, you empower yourself to make an informed and thoughtful decision that can have a profound impact on your child’s development.

At Cardinal Pediatric Therapies, we believe that every child deserves individualized, compassionate, and evidence-based care. Our team of highly trained BCBAs and RBTs works collaboratively with parents to create a positive and consistent environment for growth.

Serving families in Arizona and North Carolina, we offer personalized ABA therapy that fosters life skills, reduces challenging behaviors, and promotes long-term success.

Contact us today to learn more about our services!

Types of ABA Therapy: Which one is right for your child?

Applied Behavior Analysis (ABA) therapy is a gold-standard treatment for children with autism spectrum disorder (ASD) and other developmental challenges. It focuses on reinforcing positive behaviors, teaching new skills, and improving communication, social interaction, and daily functioning. What makes ABA therapy especially powerful is its adaptability. There are multiple types of ABA therapy, each with different approaches, structures, and goals.

At Cardinal Pediatric Therapies, we understand that no two children are alike. That’s why we tailor every treatment plan based on the child’s needs, preferences, and learning style. In this article, we explore the most common types of ABA therapy and help you determine which one is right for your child.

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Understanding the Different Types of ABA Therapy

Each type of ABA therapy uses the core principles of behavior analysis but applies them in different ways. Choosing the right approach involves understanding your child’s goals, developmental stage, and how they learn best.

Here are the most widely used types of ABA therapy and how they work:

Discrete Trial Training (DTT)

Discrete Trial Training is one of the most structured types of ABA therapy. It involves breaking down skills into small, manageable steps and teaching each step through repetition and reinforcement.

  • Setting: One-on-one, therapist-directed sessions
  • Structure: Highly organized, with clear instructions and prompts
  • Focus: Early learning skills like eye contact, labeling, and imitation
  • Best For: Children who benefit from structure and repetition or are just beginning therapy

In DTT, a therapist presents a task, waits for a response, and provides positive reinforcement for correct answers. This approach is effective for teaching foundational skills and reducing problem behaviors through consistent practice.

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Naturalistic Environment Teaching (NET)

Natural Environment Teaching (NET) is a more child-led, play-based approach to ABA therapy. It takes advantage of everyday activities to teach meaningful skills in real-time.

  • Setting: Home, school, or community environments
  • Structure: Loosely structured, based on the child’s interests
  • Focus: Functional communication, social interaction, problem-solving
  • Best For: Children who learn well through play and interaction

Because NET is integrated into daily routines, it helps children apply what they learn across settings, making skills more transferable and meaningful.

Pivotal Response Training (PRT)

Pivotal Response Training focuses on core areas of development that are considered “pivotal” to a child’s overall success. These include motivation, initiation of social interactions, self-management, and response to multiple cues.

  • Setting: Flexible, child-driven environments
  • Structure: Combines structured and unstructured elements
  • Focus: Improving key developmental “pivot points”
  • Best For: Children who need support with motivation or generalizing skills

By targeting these pivotal behaviors, PRT aims to produce wide-reaching improvements across various domains, such as communication, behavior, and academic performance.

Verbal Behavior Therapy (VBT)

Verbal Behavior Therapy is designed to improve language and communication by focusing on the reasons behind language use. Instead of just teaching words, it helps children understand how to use language to get what they want and express their needs.

  • Setting: One-on-one or small group
  • Structure: Structured, yet highly individualized
  • Focus: Functional language, request-making (mands), labeling (tacts), repeating (echoics), and responding (intraverbals)
  • Best For: Children with limited or developing verbal communication

VBT encourages communication in a way that is practical and engaging for the child, promoting expressive language in real-world situations.

How to Choose the Right Type of ABA Therapy for Your Child

Every child is different, and the right ABA therapy approach will depend on several factors:

Assess Strengths and Challenges

A qualified Board-Certified Behavior Analyst (BCBA) will begin by evaluating your child’s developmental level, communication skills, and areas for growth. This assessment informs which ABA therapy techniques will be most effective.

Consider Your Child’s Learning Style

  • Visual learners may respond better to DTT’s clear, repeated instructions.
  • Play-based learners may excel with NET or PRT.
  • Children developing speech may benefit from a communication-focused approach like Verbal Behavior Therapy.
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Account for Sensory and Behavioral Needs

Children with sensory sensitivities or those who become overwhelmed in highly structured settings may thrive in naturalistic or play-based therapy environments.

Personalize the Approach Over Time

Many children benefit from a blended approach that draws on multiple types of ABA therapy. A comprehensive program may include structured DTT for foundational skills, NET for generalization, and VBT for language development.

How Cardinal Pediatric Therapies Uses Different Types of ABA Therapy

At Cardinal Pediatric Therapies, the most effective treatment plans are built from flexibility, evidence, and compassion. Our clinicians do not rely on one single approach. Instead, we integrate strategies from all major types of ABA therapy to create a well-rounded and engaging experience for each child.

Our ABA programs include:

  • In-home and in-clinic options across Arizona and North Carolina
  • Individualized assessments and goal-setting with a BCBA
  • Parent coaching and collaboration to ensure consistency across environments
  • Therapist-guided sessions that evolve as your child progresses
  • Integrated services with speech and occupational therapy when needed

Whether your child is just starting their autism journey or continuing to build on previous progress, we adapt therapy methods to their unique needs, preferences, and strengths.

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Begin Your Child’s Journey With ABA Therapy Today!

There is no one-size-fits-all solution when it comes to ABA therapy. Understanding the different types of ABA therapy—and how they align with your child’s learning style, goals, and personality—is a crucial step in finding the right fit.

From the structure of Discrete Trial Training to the flexibility of Naturalistic Teaching, each method brings unique strengths. At Cardinal Pediatric Therapies, we combine the best of each approach to provide comprehensive, compassionate care that empowers children to thrive.

If you are exploring ABA therapy in Arizona or North Carolina, reach out to Cardinal Pediatric Therapies today. Our team is ready to help you build the most effective, personalized treatment plan for your child’s success.

Autism Therapy for Children: What are The Long Term Benefits of Early Intervention?

Autism Spectrum Disorder (ASD) is a developmental disorder that affects communication, social skills, and behavior. Early intervention and Autism Therapy for Children are crucial for kids with ASD, and can provide significant long-term benefits. 

Here are three long-term benefits of early intervention:

  1. Improved communication and social skills: Autism therapy can help children with ASD develop better communication and social skills, which can improve their ability to interact with others and participate in everyday activities. Improved communication and social skills can also lead to better academic and employment outcomes later in life.
  2. Increased independence: Therapy interventions can help kids with ASD become more independent, by teaching them new skills and behaviors. This can include activities of daily living, such as dressing, feeding, and grooming, as well as more complex skills, such as problem-solving and decision-making.
  3. Better quality of life: Therapy for Autism can have a significant impact on the quality of life of children with ASD and their families. By improving communication, social skills, and independence, therapy can help children with ASD to participate more fully in their communities and enjoy a higher quality of life. It can also reduce stress and improve mental health for both the child and their family.

In conclusion, therapy for autism can provide significant long-term benefits for children with Autism Spectrum Disorder. Improved communication and social skills, increased independence, and a better quality of life are just a few of the many benefits that therapy can provide. 

Early intervention and therapy are crucial for children with ASD, and can help them reach their full potential.

What is ABA Therapy and What Can Your Family Expect?

Applied Behavior Analysis, also known as ABA Therapy is a type of behavioral therapy that focuses on the principles of learning and behavior to help individuals develop appropriate behaviors and skills, and reduce challenging behaviors. It is commonly used to treat individuals with Autism Spectrum Disorder (ASD) and other developmental disabilities.

It is based on the idea that behavior is learned, and that by using positive reinforcement and other techniques, new behaviors can be taught and reinforced. The therapy can be individualized to meet the specific needs of each person, and can be provided in various settings, such as at home, in schools, or in clinics.

During an ABA therapy session, a therapist will work with the individual to set specific goals and identify behaviors that need to be changed or improved. The therapist will then use various techniques, such as positive reinforcement, modeling, and prompting, to teach new skills and behaviors, while reducing challenging behaviors.

Positive reinforcement is a key component of ABA therapy. This involves rewarding appropriate behaviors with praise, tokens, or other rewards, which helps to strengthen the desired behavior. The therapist may also use negative reinforcement, which involves removing a negative stimulus when the desired behavior occurs, such as removing a loud noise when a child stops screaming.

ABA therapy is a collaborative process that involves the individual, their family, and the therapist. Family involvement is crucial for the success of ABA therapy, as it helps to reinforce appropriate behaviors outside of therapy sessions, and can also help the family to better understand the needs of their loved one.

In conclusion, ABA therapy is a highly effective form of therapy that can help individuals with Autism Spectrum Disorder (ASD) and other developmental disabilities to develop appropriate behaviors and skills, and reduce challenging behaviors. With the support of a trained therapist and the involvement of the family, ABA therapy can provide significant benefits for individuals and their families.

Dr. Mike Henderson, Ph.D., BCBA-D, LBA

Regional Operations Director

North Carolina

Mike Henderson, PhD, LBA, BCBA-D, is the Regional Operations Director at Cardinal Pediatric Therapies. With over two decades of experience in behavior analysis and organizational leadership, he focuses on mentoring teams and fostering a culture of collaboration, growth, and excellence in client care. Mike believes strong leadership and supportive systems are essential for helping clients, families, and providers succeed together.

Felicia Freeman

Clinic Manager

I am Felicia Freeman, the Clinic Manager for Cardinal Pediatric Therapies. I have been in ABA for several years now and am passionate about the community that we serve. I started out as an RBT, decided to go the administrative route, and worked my way up to managing clinics. I choose this field every day because I enjoy making a meaningful impact in the lives of our clients and building strong teams that change lives.

Amanda Dean, MA, BCBA, LBA

Johnston County, NC

Amanda graduated from The Chicago School of Professional Psychology in 2018 with her Masters in Psychology. She proceeded to complete her graduate certificate in ABA and became a BCBA in November 2020. Amanda has a passion for behavior reduction, tolerance training and functional communication training. She enjoys spending as much time as she can with her 3 children and husband. When she’s not working, Amanda is very involved in her local Pop Warner Cheerleading program where she is the Assistant Cheer Director and a head coach.

Becky Fronheiser

Operations Director

Arizona

Becky has worked in behavioral health for 7 years. She joined Cardinal in the spring of 2024.  Becky is grateful for the opportunity to work with such a passionate group of people and looks forward to supporting families with their specific ABA needs.  In her personal time, she enjoys spending quality time with her husband, 6 kids and 4 grandkids and loves to travel and relax on the beach.

Matthew Wilkinson

Operations Director

Cary, NC

Matthew holds a bachelors degree from the University of Utah, Medical Degree from the Autonomous University of Guadalajara and an MBA from Western Governors University. He has worked in the pediatric field for the majority of his professional life and has a passion for helping bring the best care to children in need. He enjoys spending time with his wife and three children and day trips to the coast.

 

Trisha Iannotta Bieszczad, PsyD., BCBA

Triad, NC

Trisha is a Board Certified Behavior Analyst (BCBA) with extensive expertise since 2016 in applying behavior analytic principles to improve the lives of children and adolescents. Her professional journey began with a doctoral degree in clinical psychology, emphasizing child and adolescent development. This foundation has equipped her with a deep understanding of psychological theories and practices, which she seamlessly integrates into her work as a BCBA. Outside of her professional endeavors, Trisha enjoys reading, spending time outdoors with her family & trying out new restaurants. Trisha’s dedication to both her career and personal interests reflects her commitment to continual growth and enrichment, both professionally and personally. Her multifaceted background allows her to approach each aspect of her life with a blend of expertise, enthusiasm, and a genuine appreciation for learning and exploration.

Tina Lee

Director of Finance

Tina Lee is the Finance Director for Cardinal with a variety of experience in the Healthcare Industry for over 13 years. She is compassionate and always eager to assist where she can. In the ever-changing Healthcare environment, Tina has played a vital role in putting processes in place to obtain high efficiency outcomes to help our clients get the care they need. Tina enjoys the outdoors and loves spending time with her family.

William Evans

Director of Outreach and Recruitment

William is a UNCW Graduate who started his professional career working in Marketing and Recruiting for a local technology company before looking for an opportunity to take those skills and help others. In his spare time he plays hockey, including annually for the North Carolina Autism Hockey Tournament, which is dedicated to the raising money and awareness for organizations helping local families with children diagnosed with autism.

Alice Okamoto, MA, BCBA, LBA

Chief of Staff

Alice has been with Cardinal for over 4 years and has worn many hats along the way!  Alice has a passion for working with clients and families as a unit, supervising behavior analyst trainees, and collaborating on strategic initiatives to ensure clinical efficiencies.  Alice‘s professional experience began with ABA in a school setting, and has worked in schools, homes, and clinics throughout the years while enjoying collaboration with related providers.  In her free time, Alice enjoys traveling, exploring parks with her dog, Oliver, and trying new restaurants. 

Darrin Miller

CEO

Darrin has dedicated his education and career to the field of behavioral health. As a licensed therapist and master’s in clinical counseling he works to create solutions that improve the lives of those impacted by Autism Spectrum Disorder at a local, state, and national level. He strives to create a culture of caring and empathy while innovating solutions for improving families’ access to quality care as quickly as possible.