✦ Now Welcoming Families · Private Pay & Out-of-Network Support · English & Russian




Skills we build through meaningful play
Each child's goals are unique, but we often focus on:

School Readiness
Attending, following directions, waiting, transitioning between activities, and building the foundations for preschool and kindergarten success.

Daily Living Skills
Mealtimes, dressing, transitions, cleanup, toileting readiness, safety, and participation in everyday family routines.

Behavior Support
Understanding what behavior is communicating and teaching safe, effective, meaningful alternatives with warmth and consistency.

Play Skills
Functional play, pretend and symbolic play, playing alongside and with others, and flexibility across a range of activities.

Social Skills
Shared attention, turn-taking, imitation, peer interaction, and building warm, joyful connections with familiar people.

Communication
First words, gestures, requesting, commenting, expanding language, and functional communication during play and daily routines.

Skills we build through meaningful play
Each child's goals are unique, but we often focus on:

Communication
First words, gestures, requesting, commenting, expanding language, and functional communication during play and daily routines.

Social Skills
Shared attention, turn-taking, imitation, peer interaction, and building warm, joyful connections with familiar people.

Play Skills
Functional play, pretend and symbolic play, playing alongside and with others, and flexibility across a range of activities.

Behavior Support
Understanding what behavior is communicating and teaching safe, effective, meaningful alternatives with warmth and consistency.

Daily Living Skills
Mealtimes, dressing, transitions, cleanup, toileting readiness, safety, and participation in everyday family routines.

School Readiness
Attending, following directions, waiting, transitioning between activities, and building the foundations for preschool and kindergarten success.

Skills we build through meaningful play
Each child's goals are unique, but we often focus on:

Communication
First words, gestures, requesting, commenting, expanding language, and functional communication during play and daily routines.

Social Skills
Shared attention, turn-taking, imitation, peer interaction, and building warm, joyful connections with familiar people.

Play Skills
Functional play, pretend and symbolic play, playing alongside and with others, and flexibility across a range of activities.

Behavior Support
Understanding what behavior is communicating and teaching safe, effective, meaningful alternatives with warmth and consistency.

Daily Living Skills
Mealtimes, dressing, transitions, cleanup, toileting readiness, safety, and participation in everyday family routines.

School Readiness
Attending, following directions, waiting, transitioning between activities, and building the foundations for preschool and kindergarten success.
Personalized BCBA-Led Support Through Play
Every ongoing service builds on your child's Comprehensive Assessment, individualized, ESDM-informed, and delivered by your BCBA directly. Here's what's included at each stage.

Comprehensive Assessment
Everything at GEMS begins here. We observe, measure, and listen, building a complete picture of your child's strengths and goals before a single session begins. You don’t need a diagnosis to start. If you plan to use insurance, we’ll explain what your plan requires.
-
Spread across a couple of in-home visits, including direct observation with your child
-
ESDM Curriculum Checklist across all 8 developmental domains
-
Receptive & expressive communication, social, imitation, cognition, play, fine & gross motor
-
Detailed parent intake interview about daily routines and priorities
-
Preceded by a brief inquiry, free 15-minute consultation, confirmation of fit and availability, and a signed New Client Intake & Onboarding Packet; OON verification is optional when applicable
-
Full written assessment report within 2 weeks
-
Individualized treatment plan — your child's goals only, never a template
-
Parent review meeting — you understand and approve everything before it begins
-
Superbill provided for OON reimbursement
Direct BCBA Services
Direct sessions are delivered through ESDM-informed ABA, play, joint activity routines, and naturalistic teaching. Each session is individualized from the first visit to the last.
-
60, 75, 90, or 120-minute sessions
-
In-home at times that work for your family
-
Goals built entirely from your child's assessment data
-
Data collected on every goal at every session
-
20–30 min live parent coaching embedded in every 90-min visit
-
Session notes completed within 24 hours
-
Monthly progress update
-
Written report every 3 months
-
Treatment plan review every 6 months, or sooner as data indicate
-
Superbill provided for OON reimbursement


Parent Coaching
You are your child's most important teacher, and we treat you that way. Parent coaching is woven into every session, not an afterthought. You'll leave each visit with one clear, practical strategy you can use right away.
-
Parent coaching embedded in every 90-min direct session
-
Standalone 60 or 75-min parent coaching sessions available
-
4-Week Parent Coaching Program available as a starting package
-
Telehealth sessions via HIPAA-compliant video
-
Live in-session coaching with real-time feedback
-
Strategies embedded in mealtimes, transitions, dressing, bedtime
-
Visual supports and communication tools for home use
-
Written strategy summary and home practice plan each month
-
Superbill provided for OON reimbursement
Progress Monitoring & Reports
You will always know exactly where your child stands. Data, graphs, qualitative narrative, and updated recommendations, delivered on a consistent schedule, never withheld.
-
Monthly written progress reports with data graphs
-
Goal status and qualitative narrative each month
-
Updated recommendations included every report
-
Formal treatment plan review every 6 months
-
Families receive copies of all reports
-
Coordination letters to school or pediatrician on request
-
School observation and consultation available as add-on

Personalized BCBA-Led Support Through Play
Every ongoing service builds on your child's Comprehensive Assessment, individualized, ESDM-informed, and delivered by your BCBA directly. Here's what's included at each stage.

Comprehensive Assessment
Everything at GEMS begins here. We observe, measure, and listen, building a complete picture of your child's strengths and goals before a single session begins. You don’t need a diagnosis to start. If you plan to use insurance, we’ll explain what your plan requires.
-
Spread across a couple of in-home visits, including direct observation with your child
-
ESDM Curriculum Checklist across all 8 developmental domains
-
Receptive & expressive communication, social, imitation, cognition, play, fine & gross motor
-
Detailed parent intake interview about daily routines and priorities
-
Preceded by a brief inquiry, free 15-minute consultation, confirmation of fit and availability, and a signed New Client Intake & Onboarding Packet; OON verification is optional when applicable
-
Full written assessment report within 2 weeks
-
Individualized treatment plan — your child's goals only, never a template
-
Parent review meeting — you understand and approve everything before it begins
-
Superbill provided for OON reimbursement
Direct BCBA Services
Direct sessions are delivered through ESDM-informed ABA, play, joint activity routines, and naturalistic teaching. Each session is individualized from the first visit to the last.
-
60, 75, 90, or 120-minute sessions
-
In-home at times that work for your family
-
Goals built entirely from your child's assessment data
-
Data collected on every goal at every session
-
20–30 min live parent coaching embedded in every 90-min visit
-
Session notes completed within 24 hours
-
Monthly progress update
-
Written report every 3 months
-
Treatment plan review every 6 months, or sooner as data indicate
-
Superbill provided for OON reimbursement


Parent Coaching
You are your child's most important teacher, and we treat you that way. Parent coaching is woven into every session, not an afterthought. You'll leave each visit with one clear, practical strategy you can use right away.
-
Parent coaching embedded in every 90-min direct session
-
Standalone 60 or 75-min parent coaching sessions available
-
4-Week Parent Coaching Program available as a starting package
-
Telehealth sessions via HIPAA-compliant video
-
Live in-session coaching with real-time feedback
-
Strategies embedded in mealtimes, transitions, dressing, bedtime
-
Visual supports and communication tools for home use
-
Written strategy summary and home practice plan each month
-
Superbill provided for OON reimbursemen
Progress Monitoring & Reports
You will always know exactly where your child stands. Data, graphs, qualitative narrative, and updated recommendations, delivered on a consistent schedule, never withheld.
-
Monthly written progress reports with data graphs
-
Goal status and qualitative narrative each month
-
Updated recommendations included every report
-
Formal treatment plan review every 6 months
-
Families receive copies of all reports
-
Coordination letters to school or pediatrician on request
-
School observation and consultation available as add-on

Personalized BCBA-Led Support Through Play
Every ongoing service builds on your child's Comprehensive Assessment, individualized, ESDM-informed, and delivered by your BCBA directly. Here's what's included at each stage.

Comprehensive Assessment
Everything at GEMS begins here. We observe, measure, and listen, building a complete picture of your child's strengths and goals before a single session begins. You don’t need a diagnosis to start. If you plan to use insurance, we’ll explain what your plan requires.
-
Spread across a couple of in-home visits, including direct observation with your child
-
ESDM Curriculum Checklist across all 8 developmental domains
-
Receptive & expressive communication, social, imitation, cognition, play, fine & gross motor
-
Detailed parent intake interview about daily routines and priorities
-
Preceded by a brief inquiry, free 15-minute consultation, confirmation of fit and availability, and a signed New Client Intake & Onboarding Packet; OON verification is optional when applicable
-
Full written assessment report within 2 weeks
-
Individualized treatment plan — your child's goals only, never a template
-
Parent review meeting — you understand and approve everything before it begins
-
Superbill provided for OON reimbursement
Direct BCBA Services
Direct sessions are delivered through ESDM-informed ABA, play, joint activity routines, and naturalistic teaching. Each session is individualized from the first visit to the last.

-
60, 75, 90, or 120-minute sessions
-
In-home at times that work for your family
-
Goals built entirely from your child's assessment data
-
Data collected on every goal at every session
-
20–30 min live parent coaching embedded in every 90-min visit
-
Session notes completed within 24 hours
-
Monthly progress update
-
Written report every 3 months
-
Treatment plan review every 6 months, or sooner as data indicate
-
Superbill provided for OON reimbursement

Parent Coaching
You are your child's most important teacher, and we treat you that way. Parent coaching is woven into every session, not an afterthought. You'll leave each visit with one clear, practical strategy you can use right away.
-
Parent coaching embedded in every 90-min direct session
-
Standalone 60 or 75-min parent coaching sessions available
-
4-Week Parent Coaching Program available as a starting package
-
Telehealth sessions via HIPAA-compliant video
-
Live in-session coaching with real-time feedback
-
Strategies embedded in mealtimes, transitions, dressing, bedtime
-
Visual supports and communication tools for home use
-
Written strategy summary and home practice plan each month
-
Superbill provided for OON reimbursement
Progress Monitoring & Reports
You will always know exactly where your child stands. Data, graphs, qualitative narrative, and updated recommendations, delivered on a consistent schedule, never withheld.

-
Monthly written progress reports with data graphs
-
Goal status and qualitative narrative each month
-
Updated recommendations included every report
-
Formal treatment plan review every 6 months
-
Families receive copies of all reports
-
Coordination letters to school or pediatrician on request
-
School observation and consultation available as add-on
Flexible support packages for your family
We offer three packages designed around different levels of support. Recommendations are individualized after the Comprehensive Assessment and guided by your child’s needs and family priorities.

Comprehensive Early Support
Higher-frequency support for children with needs across multiple developmental areas

-
Comprehensive Assessment required
-
Multiple direct BCBA sessions per week
-
Parent coaching and home routine support
-
Insurance documentation and superbill support

Direct BCBA Services
Ongoing early childhood support with parent coaching embedded into each visit.

-
Comprehensive Assessment required
-
Weekly direct BCBA sessions
-
Communication, play, and social engagement goals
-
Progress updates and reassessment planning

Parent Coaching Essentials
For families who want practical strategies they can use during daily routines.

-
4-week parent coaching program
-
In-home coaching with your child present
-
One clear strategy focus per session
-
Written strategy card after each visit

First Steps Consultation
Not sure if your child needs ABA? The First Steps Consultation is a single in-home visit with observation, a parent interview, and honest recommendations. It’s a paid visit, and the fee is credited toward the Comprehensive Assessment if you proceed within 30 days. To schedule one, start with a free 15-minute call and let us know you’re interested.

Flexible support packages for your family
We offer three packages designed around different levels of support. Recommendations are individualized after the Comprehensive Assessment and guided by your child’s needs and family priorities.

Parent Coaching Essentials
A 4-week parent coaching program offering focused, practical guidance for one specific routine or priority.

Direct BCBA Services
Consistent, individualized support for children who benefit from ongoing BCBA-led sessions.

Comprehensive Early Support
Higher-frequency support for children with needs across multiple developmental areas
Flexible support packages for your family
We offer three packages designed around different levels of support. Recommendations are individualized after the Comprehensive Assessment and guided by your child’s needs and family priorities.

Parent Coaching Essentials
For families who want practical strategies they can use during daily routines.

-
4-week parent coaching program
-
In-home coaching with your child present
-
One clear strategy focus per session
-
Written strategy card after each visit

Direct BCBA Services
Ongoing early childhood support with parent coaching embedded into each visit.

-
Comprehensive Assessment required
-
Weekly direct BCBA sessions
-
Communication, play, and social engagement goals
-
Progress updates and reassessment planning

Comprehensive Early Support
Higher-frequency support for children with needs across multiple developmental areas

-
Comprehensive Assessment required
-
Multiple direct BCBA sessions per week
-
Parent coaching and home routine support
-
Insurance documentation and superbill support

First Steps Consultation
Not sure if your child needs ABA? The First Steps Consultation is a single in-home visit with observation, a parent interview, and honest recommendations. It’s a paid visit, and the fee is credited toward the Comprehensive Assessment if you proceed within 30 days. To schedule one, start with a free 15-minute call and let us know you’re interested.

Flexible support packages for your family
We offer three packages designed around different levels of support. Recommendations are individualized after the Comprehensive Assessment and guided by your child’s needs and family priorities.

Parent Coaching Essentials
For families who want practical strategies they can use during daily routines.

-
4-week parent coaching program
-
In-home coaching with your child present
-
One clear strategy focus per session
-
Written strategy card after each visit

Direct BCBA Services
Ongoing early childhood support with parent coaching embedded into each visit.

-
Comprehensive Assessment required
-
Weekly direct BCBA sessions
-
Communication, play, and social engagement goals
-
Progress updates and reassessment planning

Comprehensive Early Support
Higher-frequency support for children with needs across multiple developmental areas

-
Comprehensive Assessment required
-
Multiple direct BCBA sessions per week
-
Parent coaching and home routine support
-
Insurance documentation and superbill support

First Steps Consultation
Not sure if your child needs ABA? The First Steps Consultation is a single in-home visit with observation, a parent interview, and honest recommendations. It’s a paid visit, and the fee is credited toward the Comprehensive Assessment if you proceed within 30 days. To schedule one, start with a free 15-minute call and let us know you’re interested.





