Bierman Autism Centers

ABA Therapy Outcomes You Can Measure, Verify, and Trust

Bierman delivers measurable, high-quality ABA therapy outcomes through disciplined clinical execution, consistent measurement, and built-in accountability. 

20 Years of Outcomes 2006–2026
375+ Cumulative ABA therapy graduations
>60% Graduate to a general education setting
~19mo Average time to graduation
~90% Mean parent satisfaction
375+ Cumulative graduations since 2006
3M+ Hours of specialized therapy delivered
1M+ Individual goals mastered
30+ Centers across 7 states

Our High Standards

Outcomes that go beyond graduation, and the data to prove it.

Health plans need more from ABA providers than claims of quality. They need consistent outcomes, efficient use of authorized hours, reliable documentation, and proof that treatment produces durable, real-world results, not just in-clinic progress that doesn’t generalize.

Most ABA providers report outcomes at the point of graduation. Bierman tracks what happens after, through a four-wave longitudinal parent survey that verifies progress at graduation, at six months, at one year, and at two years.

Our outcomes data is not estimated. It is measured.

Progress doesn't happen by chance. It happens by design.
Dr. Chrissy Barosky, CCO, Bierman Autism Centers

Clinical Outcomes

Where our graduates go, and how we know.

375+ children have graduated from Bierman programs since 2006. Each graduation is a clinically defined milestone, not an administrative endpoint.

Post-graduation school placement*
>60%

Includes graduating to a general education setting, including general education classrooms, general education with supports, and preschool placements. *Data from 2023 to 2025 graduate cohorts.

Verified post-graduation
Efficient pathway to graduation*
~19mo

Authorized services have direction, a trajectory, and a clinically defined endpoint, not an indefinite service horizon. *Average time from start of services to graduation.

Measured across all programs

Accountability

Four-wave longitudinal follow-up

Bierman’s accountability to a member’s outcomes extends for two years beyond graduation, not the day services end.

1 Day of Graduation
Initial satisfaction and functional readiness captured at the point of graduation.
2 6-Month Follow-Up
School placement verified. Family outcomes assessed 6 months post-graduation.
3 1-Year Follow-Up
Progress verified, confirming that gains are holding and the transition is on track.
4 2-Year Follow-Up
Final longitudinal check confirming that outcomes have held over time.

Utilization & Quality

The measurement infrastructure behind the results.

Consistent outcomes require consistent systems. Bierman’s clinical model is built around daily measurement, frequent decision-making, and structured accountability at every level.

3–5 days Goal review cadence
Programming decisions made every 3 to 5 days. Plateaus are identified early and authorized hours stay directed toward measurable progress.
7 Maximum caseload per clinician
Capped below the BACB's own recommended ceiling of 12. A deliberate constraint to reduce variability and protect outcome quality.
87% Clinical supervision onsite
Not remote. In-center oversight means quality is monitored in the moment, not reviewed after the fact.
260K Goals mastered in 2025 alone
Each goal is a precise, measurable skill target tracked through daily measurement. This scale reflects what consistent measurement produces across a real-world, multi-state operation.
6+1 Pod model — structured teams
Every client is supported by a pod of six behavior technicians supervised by a team lead and a BCBA. Consistency is built into the system, not dependent on any single clinician.
450K+ Change harders since 2024
Our core pacing metric and the signal that a learner is ready to advance. At the organizational level, it's a leading indicator of graduation likelihood.

Compliance & Accountability

Consistent outcomes require consistent clinicians.

Bierman operates a formal compliance program across all 34 centers and 7 states, designed to ensure clinical quality, maintain documentation standards, and support audit readiness.

1 Director of Compliance James Kretzer, PhD, BCBA-D, LBA (TN)
All Centers equipped with cameras Ensuring adherence to clinical standards
Qrtly Dashboard reviews with senior leadership Proactive monitoring, not reactive response
5 Compliance program pillars Standards · Training · Auditing · Investigation · Administration
1 Standards of conduct
2 Training at hire & ongoing
3 Auditing internal monitoring
4 Investigation response & remediation
5 Administration compliance program

Workforce Quality

Consistent outcomes require consistent clinicians.

Bierman University, a 100+ course development system, produces a shared clinical language and measurable results across every center. Variability in ABA care is one of the field’s most significant quality challenges. This is how we address it.

89–95% RBT exam pass rate vs. 73–75% national avg · 2024–2025
85% BCBA exam pass rate clinicians trained at Bierman (2025)
100+ Bierman University courses structured development from day one
150 Internal promotions in 2025 90% of clinical directors promoted internally

PEBBL: We don't just follow the evidence. We generate it.

The Progress through Evidence-Based BehavioLab embeds research directly into clinical workflows, using real-world data to advance clinical decision-making and raise standards continuously. PEBBL is evidence that Bierman is actively investing in the infrastructure to improve future outcomes, not resting on historical performance.

5 External Research Partners
2 Publications in process
1 PEBBL Research Fellow
45 Clinician Interest Forms

Partnership

What a partnership with Bierman delivers.

Payers need ABA partners that deliver measurable outcomes efficiently, operate with the documentation standards that support accountability, and can demonstrate consistency across large, real-world populations, not just isolated cases. Bierman delivers all three.

Get Coverage Across Seven States

Bierman's Network

This broad footprint supports both statewide and regional plan designs. For health plans with multi-state or multi-region products, partnering with a single provider across several states can simplify contracting, credentialing, and data sharing.

Because geographic access is a key metric in network adequacy, Bierman’s payer relations team is prepared to collaborate to identify locations where expanded service, like on-site speech and occupational therapy, may best align with your members’ needs and compliance.

Bierman’s center footprint spans seven states and includes the following city-level locations:

AZ
Arizona 2 centers
MA
Massachusetts 4 centers
NC
North Carolina 3 centers
OH
Ohio 7 centers
RI
Rhode Island 4 centers

We Accept Most Major Insurance Providers

In Select States

Aetna Logo
Ambetter logo
Mass General Logo
United Healthcare log

FAQs

What payers most often want to know.

How does Bierman measure ABA therapy outcomes?

Through daily tracking of individual learner goals, a 3–5 day clinical review cadence, and a four-wave longitudinal parent survey continuing for two years post-discharge. Progress is verified, not assumed.

What is Bierman's average length of ABA services?

Approximately 18 to 20 months from start of services to graduation. Individual clinical needs determine the appropriate length for each child.

How does Bierman support appropriate utilization?

Programming decisions are made every 3–5 days. Clinician caseloads are capped at 7 — below the BACB’s recommended ceiling of 12. Plateaus are identified early, keeping authorized hours directed toward progress.

What percentage of graduates transition to general education?

Over 60% of 2023–2025 graduates transitioned to a general education setting, verified through post-graduation follow-up, not estimated at graduation.

How does Bierman define ABA therapy graduation?

A clinically defined milestone. A learner who has met individualized treatment goals and completed a transition plan supporting success in their next setting. Not an administrative discharge.

What compliance standards does Bierman maintain?

A formal compliance program led by a dedicated Director of Compliance, including quarterly dashboard reviews, an internal audit program, camera monitoring at all centers, and compliance training at hire and throughout employment.

Ready to Join Our Network?

If you are interested in partnering with Bierman as a provider, clinician, or referring organization, we would love to hear from you! Contact us directly at payerrelations@biermanautism.com or fill out the form to take your first steps towards a partnership with Bierman Autism Centers. We can’t wait to create progress and possibilities® together!