We come to you
No stressful commutes across NC, GA, or MD. No parking lot battles. No overstimulating waiting rooms. Your therapist arrives at your door, and therapy happens where your child already feels safe.
In-home ABA therapy for children with autism in NC, GA, MD
Let progress into your home
Apex ABA is bringing exceptional ABA therapy to the heart of your home.
What is In-Home ABA Therapy?
In-home ABA therapy is evidence-based behavioral treatment delivered in your child's natural environment—your home, during real routines and transitions. A Board Certified Behavior Analyst creates a personalized treatment plan. A Registered Behavior Technician implements therapy while you observe, participate, and learn the same strategies. Skills are built where they're used. Progress happens where it matters most.
How in-home therapy works
What to expect
Consistency matters
Your child works with the same therapist at every session. They build trust with someone who learns what motivates them, triggers them, and what helps them succeed.
You're part of this
You watch everything unfold, ask questions in real time and learn the strategies alongside your child, so progress continues long after our therapist leaves.
We work on your real day
We work on your actual routine. We don't practice pretend meals. We tackle the real dinner table, the real bath time, and the real moments that cause stress right now.
We handle all the insurance paperwork
Prior authorization. Benefit verification. Reauthorization requests. Claims. We manage every aspect, so you can focus entirely on your child.
Ready to get started?
Get Started TodayWhy your home is the best classroom
The real difference
Your child isn't performing for us in an unfamiliar clinic room. They're learning in their own space, surrounded by their toys, their routines, their family. They're more relaxed. More open. More ready to actually absorb what we're teaching.
In-home ABA brings our therapists into your world, tackling the real challenges you face every day. No commute eating up your afternoon. No overstimulating waiting rooms. Just expert ABA therapy that fits your family's life.
Insurance coverage for ABA therapy
We accept Medicaid and most major insurances
Most families in North Carolina, Georgia, and Maryland pay little to nothing out of pocket. We're in-network with major Medicaid and commercial plans. We verify your benefits upfront so there are no surprise bills.
North Carolina
Maryland
A morning with Marcus: Real progress in action
What a session looks like
Marcus struggles with getting ready. Every morning is a 45-minute battle; resistance to clothing, difficulty sequencing steps, frequent meltdowns. His parents dread 7 AM.
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Week 1: Assessment
Our BCBA observes Marcus's morning. They watch what triggers meltdowns (textures, transitions), what he communicates, and what actually works when it does work. They build a plan specific to Marcus's real day.
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Week 2–3: First Sessions
Marcus's RBT arrives at 7:30 AM. Instead of chaos, the therapist uses a visual schedule. First wake up, then pick clothes, then eat breakfast. Marcus learns this sequence. He knows what comes next.
Getting dressed is still hard. The therapist breaks it into smaller steps: pick a shirt, put arms through, pull down. When Marcus does a step without prompting, he gets something he actually cares about—not punishment, but reinforcement that matters to him.
Marcus's parents watch. They see what works. Tomorrow morning, they'll use the same approach.
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Week 4–6: Progress
Getting dressed that took 45 minutes is now taking 20. Marcus still resists, but he's attempting steps independently. He's using words instead of just screaming. His parents are calmer. Mornings don't end in crisis anymore.
The Point:
This isn't theory. It's Marcus's actual morning, with expert guidance. Skills are learned where they matter. Parents learn alongside the therapist. Progress builds.
The shifts parents actually see
Before and after: life changes
Morning routines
Before 45 mins, frequent meltdowns
After 3–6 Months 15–20 mins, child initiates steps
Communication
Before Screaming when frustrated; no words
After 3–6 Months Using 10–15 words to request, ask for help
Transitions
Before Melts down leaving activities
After 3–6 Months Accepts warnings, uses coping strategies
Meals
Before Throws food, won't sit
After 3–6 Months Sits at table, tries new foods
Sleep/Bedtime
Before 90+ mins of resistance
After 3–6 Months 30–40 mins with predictable routine
Sibling Interaction
Before Avoids or gets aggressive
After 3–6 Months Plays alongside, minimal aggression
This is what happens when therapy meets kids in their actual environment.
Does your child fit?
Signs in-home ABA might help
In-home ABA therapy is evidence-based treatment for autism spectrum disorder. If your child shows several of these, an assessment is worth exploring:
Communication and Social:
Difficulty expressing wants and needs with words (age 2+). Limited response to their name or instructions. Struggles with back-and-forth interaction or eye contact. Difficulty understanding or following routines.
Behavior and Regulation:
Frequent meltdowns or aggression during transitions. Repetitive behaviors or strong resistance to changes. Struggles with sensory experiences (clothing tags, loud sounds, textures). Unsafe behaviors (bolting, climbing, self-injury).
Daily Living:
Struggles with getting dressed, eating, toileting, or sleeping. Needs high levels of prompting for routines. Difficulty with multiple-step instructions.
School or Peer Interaction:
Teacher reports behavioral concerns. Struggles with unstructured time (recess, transitions). Limited peer interaction or play skills.
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Important: In-home ABA therapy requires a formal autism diagnosis from a qualified medical professional. CDC: Finding an Autism Evaluation.
The actual cost breakdown
Insurance, coverage, what you'll pay
Medicaid Coverage (NC, GA, MD):
Covers medically necessary ABA therapy. Usually no annual dollar cap. Typical authorization: 10–30 hours per week. Your out-of-pocket: Usually $0.
Commercial Insurance (Most Plans):
Covers ABA with an autism diagnosis. Often includes annual limits. Typical coverage: $30,000–$50,000 per year. Your out-of-pocket: Copay per session or coinsurance, typically $20–$50.
Self-Pay (if uninsured):
$80–$150 per hour for RBT-delivered therapy. Many families explore Medicaid eligibility or scholarship programs.
What We Do:
We verify your specific coverage before you start. We handle pre-authorization. We file claims. You get a clear breakdown of costs upfront.
Trusted by families across NC, GA & MD
You're the real therapist here
Parent training built in
We're in your home for a few hours. You're with your child all the rest of the time.
That's why parent training is built in. You learn the same approaches our therapists use. How to set your child up for success. How to respond to tough moments. How to keep things moving when we're not there.
We're a joint team working with your child so they can soar to places you never thought were possible.
What we won't say (and why it matters)
How we actually work
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"This should be working by now."
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Every child is different. If something isn't clicking after a reasonable time, we change our approach, not blame your child.
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"You need to be firmer with consequences."
✓
We're not here to make you a drill sergeant. We teach strategies rooted in understanding behavior, not punishment.
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"Just give it more time."
✓
Time alone doesn't create progress. Strategic intervention does. If we're not seeing movement, we adjust the plan.
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"Your child just isn't motivated."
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Every child is motivated by something. Our job is to find what works for yours, not expect them to fit a template.
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"We'll work on this in the clinic, and it'll transfer home."
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That's backwards. We work in your home because skills need to be learned where they're actually used.
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"Parents should observe from another room."
✓
You're not a distraction. You're essential. We want you involved, asking questions, and learning alongside your child.
From first call to real progress
Getting started: six steps
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Step 1: You Reach Out
Call, email, or fill out our contact form. We answer your questions honestly, verify your insurance, and explain what happens next.
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Step 2: We Meet at Your Home
A Board Certified Behavior Analyst comes to your home for a comprehensive assessment. We talk about what's hard right now and what your goals are.
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Step 3: Your BCBA Creates a Personalized Plan
No templates. No generic programs. An actual individualized treatment plan based on your child's specific needs and your family's real goals.
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Step 4: We Handle All Insurance Authorization
You won't spend hours on hold with your insurance company. We submit everything, manage the paperwork, and get authorization.
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Step 5: Therapy Begins
Your therapist comes to your home for regular one-on-one sessions. Progress gets tracked with real data, and your BCBA supervises to adjust strategies as your child grows.
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Step 6: You See What's Working
We measure everything. You'll know exactly what's improving, what's plateaued, and why. If something isn't working, we change it.
Serving families across three states
We're here for your community
Apex ABA brings in-home therapy to families throughout North Carolina, Georgia, and Maryland. No matter where you're located, our therapists come to your home.
North Carolina
and surrounding areas
Why families choose Apex ABA
What sets us apart
We show up
When we say we're coming Tuesday at 3 PM, we're there. No cancellations. No last-minute reschedules. Your family can count on us.
We're honest
If something's not working, we tell you. If progress is slower than expected, we explain why. No sugarcoating, no empty promises.
We care about the whole family
This isn't just about your child. We know siblings are affected. Parents are exhausted. We're here to make life easier for everyone.
We don't give up
Some weeks are hard. Some strategies don't work. We stick with your family through the tough parts until we figure out what does work.
What the research says
Why in-home ABA works
CDC on ABA: Autism Spectrum Disorder: Treatment
Evidence-based; most effective when intensive and early
BACB Standards: Behavior Analyst Certification Board
Ensures therapist credentials and ethical practice
Naturalistic Teaching
Skills learned in natural environments transfer better than clinical-only settings
Parent-Implemented ABA
Research shows parent coaching enhances outcomes and skill durability
Common questions answered
FAQs
Most children benefit from 10–25 hours weekly. Your BCBA recommends specific hours based on your child's needs and what insurance will authorize.
Yes. Consistency is essential for progress. Your child builds trust with their therapist, and that relationship drives results.
Most parents want to be present, especially initially. You can participate actively, observe quietly, or step away when needed—whatever works for your family.
Our therapists are trained to work with resistant or hesitant children. We start where your child is and build from there. If they need to go slow, we go slow.
Every child is different. Some families notice improvements within weeks. Others take months. But if we're doing our job right, daily life gets easier—mornings calm down, meals improve, bedtime becomes manageable.
North Carolina, Georgia, and Maryland law require Medicaid and most major insurance plans to cover ABA therapy for children with autism diagnoses. We verify your specific benefits upfront.
Life happens. We work with you. Reschedule when you need to.
We track data constantly. If progress stalls, we adjust strategies. We don't keep doing the same thing and hoping for different results.
Ready to move forward?
Hear that knock? It's us at your door.
Apex ABA is ready to come to your home in North Carolina, Georgia, or Maryland. Meet your child where they are. Help your whole family move from surviving to thriving.
Each milestone begins with one small step. Let's take it together.
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