How to Start an ABA Clinic: The Complete Business Guide
Starting an ABA clinic requires more than clinical expertise. This step-by-step guide covers licensing, credentialing, staffing, billing, and everything else you need to launch successfully.
Step 1: Build Your Business Foundation
Most ABA clinics operate as either an LLC or a professional corporation (PC). The right choice depends on your state's requirements for healthcare entities.
Step 2: Secure Your Location
Therapy rooms sized appropriately for 1:1 and small group sessions — typically 100–200 sq ft per room — with observation capability for supervision.
Step 3: Obtain Required Licenses and Certifications
ABA licensure requirements vary significantly by state. Contact your state's health department and licensing board to identify all applicable requirements before you open.
Step 4: Set Up Your Insurance Credentialing
Priority payers to credential with:
- Your state's Medicaid program
- The top 3–5 commercial payers in your market
Credentialing timeline: Plan for 60–180 days for each payer. Start the process 3–6 months before you plan to open.
Step 5: Build Your Team
BCBA salaries vary by region, but expect to pay $65,000–$95,000 for an experienced BCBA in most markets. Plan your RBT-to-BCBA ratio carefully — most clinics target 3–5 RBTs per BCBA.
Step 6: Set Up Your Billing Infrastructure
Choose ABA-specific practice management software with authorization tracking, progress note templates, and insurance billing.
Step 7: Develop Your Referral Network
Primary referral sources: pediatricians, developmental pediatricians, child psychiatrists, school districts, and parent support groups.
Ready to Launch Your ABA Clinic?
Call 469-645-8853 or visit our contact page to schedule a free startup consultation.
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ABAGrowth Partners
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