Fractional COO for ABA Clinics

Stop running your ABA clinic like a mom & pop business.

Build systems, improve profitability, optimize operations, and create a clinic engineered to scale — without the chaos that usually comes with growth.

20+
Clinic engagements
12-week
Avg. buildout cycle
11pts
Avg. margin lift

Trusted by ABA leaders building for scale

Northshore ABACardinal Therapy GroupBeacon BehavioralSummit ClinicsCedar Pediatric
The Symptoms

Growth shouldn't create chaos.

Most ABA clinics scale by adding people on top of broken systems. The result is predictable: founder burnout, margin compression and operational confusion.

Founder bottlenecks

Every decision still routes through you. Growth amplifies the chokepoint.

Staffing instability

Reactive hiring, inconsistent onboarding, and turnover that erodes margin.

No KPI visibility

You feel performance instead of measuring it. Issues surface late and expensive.

Tribal knowledge

Critical processes live in your head, not in documented, repeatable systems.

Operational confusion

Roles, accountability and decision rights are blurred across the org.

Profitability pressure

Revenue grows but margin compresses. You can't see where it's leaking.

The Shift

Move from founder-dependent to system-driven.

The shift isn't motivational. It's structural. We replace tribal knowledge with documented systems, gut feel with dashboards, and reactive firefighting with operational governance.

Explore the engagements

Old model

  • Founder carries everything
  • Tribal knowledge
  • Reactive management
  • No KPI visibility
  • Operational chaos
  • Growth creates stress

New model

  • Clear systems and SOPs
  • Defined processes
  • Operational dashboards
  • Leadership accountability
  • Predictable execution
  • Scalable structure
Engagements

Four ways we build operational maturity.

View all services →
01

ABA Operational Diagnostic

A full audit of scheduling, staffing, profitability, SOPs, org design and leadership systems. You receive a findings report, operational scorecard, priority roadmap and risk analysis.

View service details
02

Operations Buildout

Build the infrastructure: SOPs, dashboards, KPI frameworks, workflows, communication structure, management cadence and accountability systems.

View service details
03

Profitability & Performance

Labor optimization, margin analysis, compensation strategy, forecasting and revenue leakage diagnostics for sustainable growth economics.

View service details
04

AI & Automation for ABA

Practical automation: operational dashboards, reporting, intake workflows, communication automation and AI assistants built for clinic operations.

View service details
Free Scorecard

Where does your clinic actually stand operationally?

The ABA Operational Health Assessment scores you across leadership, operations, finance, scheduling, staffing, systems and growth readiness — in under 8 minutes.

Start the Assessment

Leadership

72/100

Operations

58/100

Finance

64/100

Systems

41/100

From an operator
“Within six months we had real dashboards, clear ownership, and a leadership team that didn't need me in every meeting. The clinic finally felt like a company.”
Founder · Multi-site ABA group, Midwest