In-home ABA means a trained therapist comes to your house and works with your child one-on-one, inside the routines that already fill your day. No waiting rooms, no car seat battles, and no guessing how a skill will carry over to real life, because the practice happens in real life.
What a session at home looks like
A typical in-home ABA session lasts a few hours and is built around play, daily routines and your child's own interests. The therapist might practice asking for a snack at the kitchen table, taking turns with a toy in the living room, getting dressed in the morning, or winding down at bedtime. Every activity has a purpose, but it should feel like time with a friendly adult, not a test.
ABA stands for Applied Behavior Analysis. In plain words, it is a way of teaching: break a skill into small steps, make each step easy to understand, celebrate success, and keep track of what works. Therapists write down what happens in each session so the plan can change when your child grows or gets stuck.
Because the work happens where your child lives, skills have a better chance of showing up outside of therapy. A child who learns to ask for help at home is more likely to ask for help at Grandma's house too.
Who works with your child
Your child's day-to-day therapist is a Registered Behavior Technician, or RBT. RBTs are certified, and each one is supervised by a Board Certified Behavior Analyst, or BCBA. The BCBA meets your child, designs the plan, reviews the data and adjusts the goals. Paramount Behavior has more than 50 certified therapists in this model, and the team is bilingual in English and Spanish.
That means the paperwork, the first call and the sessions themselves can all happen in the language your family uses at home. If you want your child to learn skills in Spanish, English or both, tell us at the start so the plan reflects it.
How the plan is built
Therapy starts with an assessment. A BCBA spends time with your child and with you, looking at strengths first and challenges second. You talk about what matters most to your family: speaking more, tolerating changes, safer behavior, using the bathroom, sharing a meal without a meltdown.
From that, the BCBA writes a treatment plan with goals that can be seen and measured. Many insurance plans, including Florida Medicaid plans, require the parent or guardian to sign the plan, and they ask for a new assessment and an updated plan about every six months. This is a good thing for you. It means the plan is never set in stone and you always know what the team is working on.
How many hours of therapy
There is no single right number. The number of hours depends on your child's needs, your family's schedule and what the plan authorizes. Your BCBA recommends hours based on your child, and your insurance decides what it will approve.
We will never promise a result or a timeline. Children learn at different speeds, and a good ABA program shows its progress with data you can read, not with big claims.
Where you fit in
You are the one person who is with your child every single day, so your role matters more than anyone else's. Florida Medicaid plans expect providers to involve parents when it is clinically appropriate, and to document the effort. At Paramount Behavior that includes parent training, where a BCBA shows you the same strategies the therapist uses so you can use them at dinner, in the car and at the park.
You do not need to be a teacher or to sit through every session. Some parents stay close at first and step back later. Others work from home in the next room. We adjust to your household.
What in-home ABA is not
ABA is a medical service with a treatment plan, and it is not childcare. Sunshine Health's policy, for instance, says Medicaid does not pay for supervision, babysitting, companion or chaperone services, or for acting as a one-on-one aide. If you need those kinds of supports too, we are happy to talk about other programs that may help.
A session at home also needs a calm place to work. You do not need a special room or fancy materials. A table, a few favorite toys and a space with few distractions are enough to begin.
Getting started
The path is short. First, a free consultation booked as soon as you call. Second, we check your insurance, whether it is Florida Medicaid or a private plan, and tell you what is covered; the benefits check is free, usually the same day. We handle the paperwork. Third, a BCBA gets to know your child. Then therapy begins at home. There is no waitlist: we have openings. What sets the pace after that is the paperwork (the doctor's referral, a diagnostic evaluation, and insurance or Medicaid authorization) and your family's schedule.
To begin, fill out the quick request form on this page or call (561) 421-0047. We are open Monday to Friday from 8:00 AM to 7:30 PM and Saturday from 8:00 AM to 2:00 PM.
Do you offer in-home ABA near me?
We serve families across Palm Beach County, including Greenacres, Lake Worth Beach, West Palm Beach, Boynton Beach, Wellington, Royal Palm Beach, Palm Beach Gardens, Lantana, Palm Springs, Delray Beach, Boca Raton and Jupiter. If you live nearby, send the request form and we will confirm availability for your address.
Does my child have to have an autism diagnosis?
Insurance plans need documentation of medical need. For Florida Medicaid, that includes a comprehensive diagnostic evaluation and a written order from a doctor. Private plans have their own rules. If you do not have an evaluation yet, tell us on the free call and we will point you to local options.
Will someone from your team speak Spanish?
Yes. A large part of our team is bilingual, and sessions, parent training and paperwork can all be in Spanish.
Do I have to pay for the insurance check?
No. We verify your benefits for free before anything starts, and we do the paperwork with your plan.
Can my child also get ABA at school?
Often, yes, if the school agrees and your plan authorizes it. Read about school-based ABA on our school support page.