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ABA & Autism Services

Accounting and CFO services for ABA practices

Built for ABA providers navigating RBT payroll, credentialing, and rapid multi-site growth, accounting, tax, payroll, and fractional CFO in one team.

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CPA-led · Nationwide & fully remote · Flat monthly fees
A pediatric therapy learning session

Works with the tools you already use

QuickBooks OnlineGustoADPCentralReachRethink
The Problem

ABA scales fast, and your finances have to keep up

RBT payroll, credentialing timelines, and multi-site growth make ABA one of the most operationally complex specialties.

RBT payroll at scale

High-volume RBT and BCBA payroll, classification, and onboarding handled end to end.

Credentialing and cash flow

Credentialing delays choke cash flow. We forecast around them so growth never stalls.

Multi-site and investor-ready books

Scaling or raising? We keep clean, consolidated, due-diligence-ready financials.

What You Get

Everything your ABA practice needs behind the front desk

One integrated, CPA-led team handles the entire business side, so your energy stays on care.

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  • ✓ Monthly bookkeeping and reconciliations
  • ✓ Clear monthly financial statements you actually read
  • ✓ Proactive, year-round tax strategy
  • ✓ S-corp and reasonable-compensation analysis
  • ✓ Full-service payroll and 1099 filings
  • ✓ Clinician classification handled defensibly
  • ✓ KPI dashboards and specialty benchmarking
  • ✓ A dedicated CPA-led team, never a call center
How It Works

From messy books to a real financial partner

A proven path, built around your clinical calendar. Most practices are fully live in 30–45 days.

01

Assess

A free deep-dive into your books, entity, comp, and pain points.

02

Build

We clean up the books, set your chart of accounts, and stand up the compliance calendar.

03

Run

Monthly financials, payroll, and tax filings delivered like clockwork.

04

Grow

Quarterly strategy, benchmarking, and proactive tax planning.

The economics

What we watch in an ABA practice

Every specialty has a handful of numbers that decide the year. These are the ones we put in front of you monthly, with the planning ranges we work against.

ABA practice scorecardPlanning ranges
Direct staff cost as a share of revenue55–65%
RBT billable utilisation75–85%
Authorised hours delivered90%+
Days in accounts receivable35–50
RBT turnover, annualA cost line, not an HR stat
Net collection rate93%+
Operating margin8–15%

Why these three matter most

  • Utilisation is the whole modelABA runs on the gap between authorised hours and delivered hours. Every unauthorised or undelivered hour is payroll without revenue.
  • Turnover has a numberRecruiting, credentialing and ramp for a replacement RBT is a real cost. Practices that do not track it cannot see why margin moves.
  • What we watch monthlyAuthorised versus delivered hours, utilisation by RBT, denial reasons, and direct staff cost.

These are planning ranges we work against in engagements, not published survey data. Healthy figures vary by payer mix, geography, entity structure and stage — a practice outside a range is not necessarily unhealthy, it is a question worth asking. We benchmark you against your own trend first.

Questions

ABA and Autism practice FAQs

Yes. We run RBT and BCBA payroll, classification, and onboarding end to end as you scale.
We keep clean, consolidated, due-diligence-ready books and model the growth so you are investor-ready.
Yes, alongside QuickBooks Online and your payroll platform.
Get Started

Scaling your ABA practice? Let us talk numbers.

Book a free, no-pressure practice assessment. We will review your books, entity structure, and tax posture and show you exactly where we would add value. You will speak with a CPA, never a call center.

Book Your Free Assessment →See How It Works
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