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Some services are available virtually. Others require in-person observation, because behavior makes sense when you study its environment directly. When we rely only on interviews or recollections, we're working from someone's interpretation of events, not the events themselves. That's a meaningful difference. Seeing the environment firsthand — the people, the space, the conditions — gives us information no interview can fully capture. Where observation matters, we show up. Learn more about other conditions that meet medical necessity for behavior therapy and intervention.
All services follow our BCBA-led model, directly provided by a Board Certified Behavior Analyst.
Behavioral Consultation & ABA Services
Behavioral Consultation & ABA Services
Functional behavior assessment, environmental analysis, and individualized behavior intervention plan development. Supports for individuals, caregivers, and institutions seeking behavior intervention.
We help families and individuals through personalized, purposeful, and evidence-based behavior support in home, school, and community settings. Our behavior analysts conduct thorough assessments to identify the function of challenging behavior and the environmental variables maintaining it. Intervention plans are designed collaboratively with families and caregivers to ensure strategies are practical, sustainable, and culturally responsive.
What's Involved?
What's Involved?
Functional behavior assessments (FBA) to identify what's driving the behavior, not just what it looks like on the surface.
Environmental analysis of home, school, and community settings to pinpoint conditions that evoke and maintain challenging behavior.
Individualized behavior intervention plan (BIP) development grounded in assessment data, not assumptions.
Caregiver and family training, so the people in the environment are equipped to implement strategies consistently.
Collaboration with teachers, therapists, and other service providers to ensure support is coordinated across settings.
Ongoing progress monitoring and plan adjustment based on data, not guesses.
Where?
Where?
Home | School | Community
In-person | Hybrid
Acceptance & Commitment Therapy
Acceptance & Commitment Therapy
Acceptance and Commitment Therapy [ACT] is a behavioral approach grounded in the same science that informs everything we do at LocusBx. Rather than targeting thoughts or feelings directly, ACT builds what researchers call psychological flexibility: the ability to stay in contact with the present moment and move toward what matters, even when it's hard. For us, ACT is a natural fit because it doesn't ask clients to think differently, it creates conditions where different behavior becomes possible. We integrate ACT principles across our work with children, adults, and the families who support them.
What's Involved?
What's Involved?
Adults we work with often carry years of environments that have taught them their behavior is the problem. ACT offers a different frame — one that builds flexibility without requiring internal change as a prerequisite. We use ACT to:
Clarify personal values as an anchor for goal-setting and programming decisions
Address experiential avoidance that may be showing up as refusal, shutdown, or challenging behavior
Build present-moment awareness and contact in ways adapted to each client's language and cognitive profile
Support self-advocacy by helping clients distinguish between workable and unworkable responses to difficult situations
Reduce psychological distress, including anxiety and self-critical patterns that function as barriers to engagement
Connect behavioral goals to personally meaningful outcomes rather than externally imposed standards
Where?
Where?
In-person | Hybrid | Telehealth | Virtual
What to Expect: Behavioral Counseling for Adults & Older Adults
Behavioral counseling at LocusBx is collaborative and grounded in your goals, not a fixed script. Here's what that typically looks like in practice:
During our work together, we:
Start by understanding your goals, values, and what you'd like to be different in daily life
Identify environmental factors contributing to challenges, rather than focusing on what's "wrong" with you
Build skills for emotional regulation, tolerating distress, and responding flexibly to difficult thoughts and feelings
Use values-based planning to connect day-to-day actions to what genuinely matters to you
Address avoidance patterns that may be limiting work, relationships, independence, or community participation
Collaborate with other providers in your life, such as therapists, psychiatrists, or care coordinators, with your consent
Adjust our approach based on your ongoing feedback, since your input shapes the direction of services
Track progress collaboratively, using your own sense of what's working as part of that picture
For older adult clients, we also:
Support adjustment to life transitions, such as changes in independence, living situation, or health status
Coordinate with family members or caregivers when appropriate and with your consent
Address barriers related to changes in routine, memory, or daily functioning, in partnership with your medical providers
Focus on preserving autonomy and dignity throughout the support process
Learn more about ACT and how we integrate it in our services.
Parent & Family Coaching
Parent & Family Coaching
Parenting is hard. Understanding why a behavior is happening and what to do about it can shift the experience from reactive to intentional. Our parent coaching services equip caregivers with the behavioral tools and environmental strategies to support their child's development, reduce interfering behaviors, and strengthen the relationship between parent and child.
Sessions are grounded in ABA principles and designed to meet you where you are. We assess your home environment, daily routines, and family dynamics to identify what's working and what's getting in the way. You'll leave each session with practical strategies you can implement immediately, not advice that sounds good in theory but falls apart at dinner time.
This is not about fixing your child. It's about building a home environment where they can thrive.
It only takes less than 10 minutes!
PLEASE READ: Insurance, Reimbursement, & Superbill
PLEASE READ: Insurance, Reimbursement, & Superbill
LocusBx is not yet an in-network provider with all insurance companies for parent coaching services. Many clients with out-of-network behavioral health benefits are able to seek partial reimbursement through their insurance plan.
Upon request, we can provide a superbill — an itemized receipt including the codes and information your insurance company needs to process an out-of-network claim. You would pay for sessions directly, then submit the superbill to your insurance company for potential reimbursement.
We recommend contacting your insurance provider before beginning services to ask about your out-of-network mental/behavioral health benefits, your deductible, and the expected reimbursement amount. Reimbursement is not guaranteed and varies by plan; LocusBx is not able to confirm your specific coverage or guarantee reimbursement amounts on your behalf.
What's Involved?
What's Involved?
Guided support to help caregivers understand the function of their child's behavior and respond to it effectively.
Home environment assessment to identify routines, antecedents, and reinforcement patterns that are helping or getting in the way.
Practical strategy development tailored to your family's schedule, dynamics, and values.
Skill-building for caregivers around prompting, reinforcement, and responding to interfering behavior in the moment.
Tools for building structure and predictability at home, because consistent environments produce consistent behavior.
Ongoing coaching and check-ins to adjust strategies as your child grows and circumstances change.
Where?
Where?
Home | Community
In-person | Hybrid | Virtual
Independent & Adaptive Living Skills
Independent & Adaptive Living Skills
Independence isn't a destination you arrive at, it's a set of conditions you design for. We approach daily living skills the same way we approach every behavioral goal: by asking what the environment is making easy, and what it's making hard.
Self-care and independent living routines — grooming, dressing, meal preparation, household tasks, community navigation — are rarely just skill deficits. More often, they're environment mismatches. A routine that breaks down every morning may be missing the right visual supports. A task that feels overwhelming may simply need to be sequenced differently, or practiced in the setting where it actually happens.
We work alongside clients to identify what meaningful independence looks like for them, not a standardized checklist, but a set of routines that fit their life, their pace, and their priorities. Skill-building is embedded in real contexts, supported by systems that reduce friction and build momentum over time.
Throughout the process, we follow the client's lead. Goals are chosen together, strategies are adjusted based on ongoing feedback, and progress is measured by what actually matters: greater ease, greater confidence, and a daily life that feels more like their own.
Where?
Where?
Home | Community
In-Person | Hybrid
We also offer our adult and older clients Behavioral Consultation and Counseling services using the principles and framework of Acceptance and Commitment Therapy (ACT). Learn more here.
Positive Behavior Supports
Positive Behavior Supports
Behavior doesn't stop mattering at eighteen, and it doesn't stop responding to environment either. A teenager who shuts down when overwhelmed, an adult managing the aftermath of a brain injury, an older adult whose frustration is showing up as aggression instead of words; these are all functional behaviors, shaped by the environments around them, and they respond to the same rigorous, individualized approach we use everywhere else.
We conduct thorough behavioral assessments to identify what's actually driving the behavior, not just how it looks from the outside, and build intervention plans around the person's real environment: their home, their routines, their relationships, their goals. For teens and adults with ADHD, oppositional or conduct-related behavior, intellectual and developmental disabilities, or behavioral and emotional dysregulation following trauma or injury, this means replacing what isn't working with skills that actually hold up in daily life.
This work is done in coordination with the person's broader care team — prescribers, therapists, and family — because behavior change that isn't supported across a person's whole environment tends not to last. Goals are set with the client and their support system, not handed down to them. Progress is measured by what changes in the settings that matter: home, school, work, and community.
What's Involved?
What's Involved?
Function-based assessment to identify what's maintaining challenging or interfering behavior, not just what it looks like on the surface
Individualized, replacement-skill-focused intervention plans grounded in assessment data
Support for ADHD, oppositional/conduct-related behavior, IDD, trauma- and injury-related dysregulation, and related presentations
Coordination with prescribers, therapists, and family so support is consistent across settings
Caregiver and support-system training where relevant
Ongoing progress monitoring, adjusted as circumstances change
Where?
Where?
Home | Community
Telehealth | In-Person | Hybrid
Dementia & Cognitive Decline Behavior Supports (Behavior Supports for Aging Loved Ones)
Dementia & Cognitive Decline Behavior Supports (Behavior Supports for Aging Loved Ones)
Behavior changes that come with aging — agitation, resistance to care, wandering, sundowning, repetitive questioning — aren't random, and they aren't something a family just has to endure. Like every behavior we work with, they're shaped by something: an unmet need, a disorienting environment, a communication gap that's grown as language becomes harder. Our job is to find that something, and build around it.
We work with families anywhere along the spectrum, from early, age-related cognitive changes to a diagnosed dementia. Assessment looks at the person's environment as closely as the person, their routines, their home, the moments in the day when things reliably go sideways, because for this population, the environment usually holds more of the answer than the behavior alone ever will. From there, we build practical, sustainable strategies: routines that reduce disorientation, communication approaches that meet the person where they are, and caregiver-implemented supports that hold up on an ordinary Tuesday, not just in a session.
This work is done in close coordination with the person's existing care team — physician, neurologist, or geriatric psychiatrist — because a plan that isn't grounded in the full clinical picture isn't one we'd trust either. And because this is almost always a family's work as much as it is ours, caregiver training and support are built into the plan from day one, not offered as an afterthought.
Learn more about medical necessity codes
What's Involved?
What's Involved?
Function-based assessment of behavior in the context of cognitive decline or dementia
Environmental analysis of the home and daily routines to identify what's driving distress or resistance
Individualized, caregiver-implementable strategies for agitation, wandering, sundowning, and care-resistant behavior
Coordination with physicians, neurologists, or geriatric psychiatrists already involved in care
Caregiver training and ongoing support, built into the plan from the start
Guidance on funding options, including FSA/HSA pathways for eligible families
Where?
Where?
Home | Care Facility | Telehealth (where appropriate)
Want to understand what's driving behavior at home and community?
Want to understand what's driving behavior at home and community?
Looking to shift your parenting experience from reactive to intentional?
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