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!

About the Author

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.