ABA Therapy Techniques That Actually Work for Repetitive Behaviors in Autism

March 7, 2025
Published by We Achieve ABA Staff

Repetitive behaviors in autism substantially affect how children learn and socialize, and these behaviors can disrupt the entire family's daily life. Parents often see their children demonstrate these behaviors through hand flapping, body rocking, or becoming intensely focused on specific objects. Finding ABA therapy techniques that work becomes vital for helping these children.

Research proves that these behaviors become harder to manage the longer they continue without proper intervention. ABA therapy offers a systematic way to modify these behaviors by identifying their triggers and using proven learning principles.

Let's look at practical ABA therapy techniques that help manage both simple and complex repetitive behaviors in children with autism. The right mix of positive reinforcement, structured interventions, and professional guidance can lead to real improvements in these children's daily lives.

What Are Repetitive Behaviors in Autism

"You have to understand a behavior before you can change it." — B.F. Skinner, American psychologist and behaviorist

Motor stereotypies are a defining trait of autism spectrum disorder. These show up as distinct patterns of repetitive movements that follow predictable rhythms. Research shows that about 44% of people with autism take part in some type of repetitive behavior.

Common types of repetitive movements

Repetitive behaviors in autism show up in many ways. These range from simple motor actions to complex behavioral patterns. Motor repetitions, which experts call "lower-order" behaviors, include several distinct patterns:

  • Physical Movements: Hand flapping, finger-flicking, body rocking, jumping, spinning, twirling, and head-banging

  • Object Manipulation: Touching specific textures repeatedly, flicking rubber bands, or twirling strings

  • Vocal Patterns: Humming, whistling, grunting, or repeating certain words and phrases

Children with autism also display what experts call "higher-order" repetitive behaviors. These include more complex patterns such as arranging toys in specific orders or sticking to strict daily routines.

Research shows that motor stereotypies usually appear in the first three years of life. Children display these movements throughout the day, especially when they feel excited, stressed, or deeply focused on an activity.

Why these behaviors happen

The mechanisms behind repetitive behaviors help shape effective ABA therapy approaches. Recent studies show these behaviors serve several purposes:

Sensory Processing: Children use repetitive movements to manage sensory experiences. To name just one example, rocking helps regulate balance, while hand-flapping might boost visual focus. These movements can act as filters that help reduce overwhelming sensory environments.

Emotional Regulation: Studies show repetitive behaviors work as self-regulatory tools. Children might use these actions to:

  • Handle anxiety and stress

  • Deal with overwhelming emotions

  • Create predictability when things feel uncertain

  • Show excitement or frustration

Self-Stimulation: Scientists note that some repetitive behaviors give needed sensory input. Children use these movements to maintain optimal arousal levels when they feel under-stimulated.

Recent scientific findings challenge old assumptions about these behaviors. Research suggests they work as important adaptive tools rather than just problems. People with autism describe these movements as calming and helpful for concentration.

In spite of that, some repetitive behaviors might need professional help, especially if they:

  • Get in the way of learning

  • Lead to physical harm through self-injury

  • Affect social interactions

  • Disrupt daily life

These behaviors often change in complexity and frequency as children grow and develop cognitively. Some children naturally reduce certain repetitive movements over time. Others might need structured support through ABA therapy techniques to learn different coping strategies.

Everything in repetitive behaviors gives crucial context to targeted ABA therapy techniques. Parents and therapists can create better intervention strategies that fit each child's needs by understanding both the challenges and benefits of these behaviors.

Understanding ABA Therapy Basics

ABA is a scientific approach that helps understand and improve human behavior through systematic intervention strategies. Unlike other therapies, it targets observable behaviors with social significance, which makes it highly effective for autism-related repetitive behaviors.

Core principles of ABA therapy

Seven key dimensions form the foundations of ABA therapy. The therapy prioritizes generality - skills learned in one setting should transfer naturally to other environments. A child who learns to control hand-flapping during therapy sessions should be able to do the same at school and home.

ABA uses analytical insights to guide every instructional decision. Therapists conduct detailed assessments to spot behavior triggers (antecedents) and their aftermath (consequences). These insights help create effective intervention strategies.

The ABC model serves as a significant component:

  • Antecedent: Events before the behavior

  • Behavior: The person's response or action

  • Consequence: Results that follow the behavior

Positive reinforcement stands out as the most powerful principle in behavior analysis. A child who tends to make repetitive movements might receive immediate praise for trying alternative activities. This praise strengthens their new behavioral patterns.

How ABA helps with repetitive behaviors

ABA therapy provides several proven strategies to manage repetitive behaviors. Research shows behavioral interventions that use mechanical restraints, response blocking, and non-contingent stimulation consistently show positive results.

Therapists start with a Functional Behavior Assessment (FBA) to understand why stereotypic behaviors happen. This assessment reveals if these actions are:

  • Escape or avoidance mechanisms

  • Attention-seeking behaviors

  • Means to access tangibles

  • Sources of sensory stimulation

ABA practitioners apply various reduction strategies based on these findings:

Differential Reinforcement: This method rewards desired behaviors while ignoring unwanted ones. A child who usually flaps their hands might get rewards during times they keep their hands still.

Response Interruption and Redirection (RIRD): This approach works well for vocal stereotypy. Therapists stop the repetitive behavior and guide people toward better actions.

Research backs intensive and long-term ABA therapy. Children who receive 25 to 40 hours weekly for 1 to 3 years show substantial improvements. These gains include better intellectual functioning, language development, and social skills.

ABA therapy teaches self-control skills and alternative behaviors too. Children learn through systematic instruction to:

  • Break complex tasks into manageable steps

  • Develop waiting skills

  • Use visual supports effectively

  • Try more socially appropriate activities

ABA creates structured environments that boost predictability and lower anxiety levels that often trigger repetitive behaviors. Therapists combine environmental changes with self-regulation strategies. This comprehensive approach reduces unwanted repetitive behaviors and ended up improving overall functioning.

Key ABA Techniques for Motor Behaviors

ABA therapy needs a systematic approach that combines understanding, patience, and proven techniques to manage repetitive motor behaviors. Research shows that motor stereotypies show up as suppressible, repetitive, rhythmical movements that serve specific purposes if you have autism.

Redirecting hand flapping

Children with autism commonly display hand flapping as a motor stereotypy. ABA therapy professionals use several targeted strategies to address this behavior:

Response Interruption and Redirection (RIRD): This technique helps therapists gently interrupt hand-flapping motion and guide the child toward other activities. To name just one example, a therapist might do these things at the time a child starts flapping their hands while watching television:

  • Softly prompt them to place their hands by their side

  • Provide an engaging activity for their hands

  • Minimize attention to avoid reinforcing the behavior

Differential Reinforcement: This strategy works especially when you have visual cues. Therapists might use a special bracelet as a discriminative stimulus that signals periods when hand-still behavior earns rewards.

Managing rocking motions

Rocking behaviors help with sensory stimulation and emotional regulation. ABA practitioners use multiple evidence-based approaches to address these movements:

Environmental Modifications: Excitement, stress, anxiety, or boredom can trigger stereotypies. Therapists create structured environments that boost predictability by:

  • Establishing quiet spaces for self-regulation

  • Reducing sensory overload in the environment

  • Implementing consistent daily routines

Antecedent Interventions: Studies show that changing the environment and providing competing stimuli decreases stereotypic behaviors by a lot. Therapists introduce calming activities or sensory tools that serve the same regulatory function as rocking.

Teaching alternative movements

The biggest problem isn't just suppressing existing behaviors - successful intervention focuses on teaching replacement behaviors. ABA therapy uses several techniques to introduce alternative movements:

Physical Alternatives: Therapists introduce socially acceptable movements that provide similar sensory input:

  • Squeezing stress balls or therapy putty

  • Performing wall push-ups

  • Engaging in controlled breathing exercises

  • Using weighted items or pressure vests

Self-Management Skills: Teaching self-monitoring and self-regulation techniques reduces stereotypic behaviors effectively. Children learn to:

  • Identify triggers for their repetitive movements

  • Choose appropriate alternative behaviors

  • Record their progress independently

  • Apply behavior-change strategies in a variety of settings

Positive Reinforcement System: Studies confirm that differential reinforcement procedures with immediate rewards reduce stereotypic behaviors successfully. Therapists select reinforcers based on:

  • Individual priorities

  • Effectiveness in maintaining motivation

  • Ease of delivery in various settings

Children develop improved social interaction skills and reduced stereotypic behaviors through peer-mediated interventions and social engagement education. Adding antecedent aerobic exercise to therapy sessions has shown promising results in decreasing repetitive movements.

Recent research highlights the importance of balancing necessary self-regulatory behaviors with daily activity participation. Children develop more adaptive ways to meet their sensory and emotional needs by applying these ABA techniques consistently across home, school, and therapy settings. This helps them participate meaningfully with their environment.

ABA Strategies for Verbal Repetition

Studies show that 75% of children with autism spectrum disorder show some form of echolalia, which creates unique communication challenges. Parents and professionals can tackle these communication patterns through structured ABA therapy techniques that help build meaningful dialog.

Addressing echolalia

Echolalia shows up in two different forms, each needing its own approach. Children repeat words right after hearing them in immediate echolalia, often without understanding what they mean. They might also repeat expressions they heard days ago, which we call delayed echolalia.

Response Interruption and Redirection (RIRD) is a key ABA technique that helps manage vocal stereotypy. The method works like this:

  • Break repetitive speech patterns

  • Guide toward appropriate vocalizations

  • Ask simple questions about social rules

  • Teach proper ways to request objects

RIRD has proven to reduce vocal stereotypy across multiple treatments. A therapist might gently stop a child who keeps repeating phrases from their favorite show and ask them to describe what they see around them instead.

Discrimination training provides another powerful solution. Children learn when it's okay to vocalize and when they should stay quiet. A classroom might use a red card to signal "quiet play time" - children see this visual cue and learn to play without vocal stereotypy.

Building conversation skills

Functional Communication Training (FCT) leads the way in developing meaningful dialog. This proven method replaces repetitive speech with practical ways to communicate. Children learn to:

  • Express their needs clearly

  • Direct social interactions

  • Handle emotional responses

  • Communicate independently

ABA therapists use specific strategies to boost conversational skills. Script training works particularly well by teaching useful phrases for different situations. Therapists model verbal behavior and teach self-monitoring so children become more aware of how they communicate.

Differential reinforcement helps reduce echolalia and encourages spontaneous speech. Therapists give immediate rewards or praise for appropriate verbal responses. A child might get positive feedback right away when they say "I want water" on their own instead of repeating someone else's words.

Cues-pause-point training adds another valuable tool to the ABA toolkit. Therapists use strategic pauses and visual aids to encourage proper responses. They might show a picture of a cat, wait a moment, then point to it - this helps children create original responses rather than repeat memorized phrases.

ABA therapy also creates natural opportunities for communication growth. The approach includes:

  • Social stories that explain communication contexts

  • Visual supports to help understanding

  • Practice through role-play

  • Step-by-step instruction for conversation skills

Research shows that early ABA therapy significantly improves communication abilities. As children develop better language skills, studies reveal notable decreases in challenging behaviors, mainly because they can better tell others what they need.

Using Positive Reinforcement

"Reinforcement works exceedingly better and faster than punishment." — Scott, Jain & Cogburn, Researchers

Positive reinforcement stands as the life-blood of successful ABA therapy interventions. Research shows that children tend to repeat behaviors that earn meaningful rewards.

Choosing effective rewards

The right rewards make a significant difference in how well ABA therapy techniques work. Studies demonstrate that stimulus discrimination training paired with appropriate rewards helps reduce stereotypic behaviors in children with autism. Therapists need to think over several key factors to find powerful motivators:

Individual Priorities: Children respond uniquely to different types of rewards. Some children thrive on social praise while others prefer physical items or specific activities. Therapists use complete assessments to discover what truly drives each child.

Reward Categories:

  • Tangible items (toys, books, preferred objects)

  • Social reinforcement (high-fives, verbal praise)

  • Activity-based rewards (playground time, art activities)

  • Token systems (stickers, points leading to larger rewards)

Practical Considerations: Rewards must stay practical, ethical and match the targeted behavior. The most effective reinforcers are items or activities that children can't easily access elsewhere. This builds genuine motivation to achieve desired behavioral changes.

The right time for reinforcement

The timing of rewards makes a vital difference. Research backs up that immediate rewards after desired behaviors create the strongest link between actions and outcomes. Here are some proven approaches:

Original Implementation: Therapists start by rewarding every correct response. This builds a clear connection between behavior and reward. This continuous reinforcement helps children understand what we expect from them.

Progressive Changes: Rewards change as behaviors improve. To cite an instance, rewards might come:

  • After every third good response

  • During specific time windows

  • When behavior stays consistent across settings

Strategic Timing: Research shows rewards work better under specific conditions:

  • Right after the desired behavior

  • Before stereotypic behaviors return

  • During activity transitions

  • When children show self-control

Data-Driven Decisions: Therapists use behavior patterns to calculate the best reward timing. The process involves:

  1. Finding the average time between behaviors

  2. Starting with half that duration for rewards

  3. Adjusting timing based on progress

  4. Watching how well it works through ongoing assessment

It's worth mentioning that we must avoid creating reward dependency. The end goal helps children build inner motivation alongside external rewards. These strategies help children maintain good behaviors even without immediate rewards.

Latest research highlights that mixing immediate and delayed rewards often works best. This approach builds patience while improving behavior. Social praise paired with tangible rewards creates lasting changes. Eventually, social recognition alone maintains the desired actions.

Teaching Self-Control Skills

Self-control skills are the foundations of successful ABA therapy outcomes. These skills help children with autism manage their behaviors in a variety of environments. Children can develop these significant skills step by step through systematic instruction and proven techniques. This leads to better independence and social functioning.

Breaking tasks into steps

Task analysis stands out as a simple yet powerful ABA technique that teaches complex behaviors. Children learn new skills without feeling overwhelmed when activities are divided into smaller, manageable parts. Research shows this approach helps identify which steps need extra instruction and creates a logical path for learning.

Therapists can develop effective task analysis through four main methods:

  • They watch skilled people and write down their steps

  • They check with professional organizations for proven task sequences

  • They do and document the task themselves

  • They use trial and error to improve the original task breakdowns

Therapists must think over several key factors to get the best results:

  • The child's skill level and age

  • How well they communicate

  • Their ability to process information

  • What similar tasks they've done before

This approach works great for daily living activities. Simple tasks like brushing teeth or doing homework become easier when broken into clear steps. Children with autism often interpret things literally, which makes this method even more valuable.

Building waiting skills

Learning to wait is vital for safety and daily life skills. Training starts with quick 5-10 second intervals that guarantee success. Children develop more patience through regular practice as waiting times slowly increase.

Teaching waiting skills works best when you:

  • Begin with very brief intervals

  • Give rewards right after successful waiting

  • Keep children busy during wait times

  • Use clear visual aids

Studies show that visual aids combined with wait training help reduce anxiety and boost compliance. These supports work in multiple ways:

  • They show what to expect while waiting

  • They help tell the difference between 'wait' and 'no'

  • They show time passing in a concrete way

Using visual timers

Visual timers play a key role in building self-control skills. These tools show time in a way children with autism can understand. Research proves that visual timers cut down anxiety during activity changes and help children manage their time better.

You'll get the best results with visual timers by following these guidelines:

  • Match timers with visual schedules to strengthen activity order

  • Use both sight and sound cues to help understanding

  • Add countdown features to make transitions smoother

Visual timers do more than just keep time. They help children:

  • Know how long activities last

  • Get ready for changes

  • Set realistic expectations

  • Complete tasks on their own

Studies confirm that children who struggle with time awareness benefit most from visual timers. These tools make time visible and real, which reduces stress during less favorite activities.

Regular use of these techniques helps children build important self-regulation skills. Keeping track of progress remains key throughout this process. This includes noting successful task completion and progress on each step. This organized approach gives children the right support as they learn to manage their behaviors and daily activities more independently.

Tracking Progress and Success

ABA therapy success depends on systematic data collection and analysis to verify if interventions work well for repetitive behaviors. Therapists and parents learn about behavioral changes through detailed tracking methods that help them stay accountable for treatment outcomes.

Taking baseline measurements

Baseline data are the foundations of measuring progress in ABA therapy. Therapists collect original data about specific behaviors to set a clear starting point before they implement any intervention strategies. This process involves:

Direct Observation: Therapists watch and document behaviors in different settings. They record:

  • How often behaviors occur

  • How long each episode lasts

  • What triggers them and environmental factors

  • How patients respond to different situations

Assessment Tools: Professional evaluations use validated instruments like the Repetitive Behavior Scale-Revised (RBS-R). This scale has 43 items designed to assess stereotypies in autism. The Repetitive and Restricted Behavior Scale (RRB) uses 35 items rated on a five-level system to evaluate repetitive behaviors.

Therapists need three to five observational periods to get an accurate picture of behavioral patterns. They don't provide corrections or reinforcement during this phase. Their focus stays on collecting unbiased data about current behavior levels.

Recording daily changes

Ongoing data collection becomes vital after establishing original measures. Research shows that continuous monitoring gives the best understanding of behavioral changes.

Frequency Recording: This method tracks how often specific behaviors happen in set time periods. To name just one example, see how counting hand-flapping episodes during morning routines reveals patterns and progress.

Duration Tracking: Therapists measure behavior duration. This works well to monitor improvements in:

  • Attention span length

  • How long repetitive actions last

  • Time spent on alternative activities

Latency Measurement: This approach looks at response times after specific prompts. It shows:

  • How quickly behaviors adapt

  • Whether intervention strategies work

  • Progress in following instructions

Data collection methods must stay consistent between sessions for reliability. Professional ABA therapists use several strategies to ensure accuracy:

  1. Standard recording formats

  2. Regular quality checks

  3. Detailed session notes

  4. Environmental factor documentation

Systematic monitoring helps therapists spot trends and adjust their strategies. Data might show more repetitive behaviors during certain activities. Changes could include:

  • Adjusting environmental stimuli

  • New coping strategies

  • Better reinforcement timing

  • Extra support measures

Progress reports with graphs and charts show behavioral trends to parents. These reports are a great way to:

  • Show how interventions work

  • Find areas needing changes

  • Celebrate improvements

  • Keep treatment on track

Research shows successful data collection needs balance between being thorough and practical. Therapists create detailed progress records without data overload by focusing on relevant behaviors and using consistent recording methods.

Working with ABA Therapists

Working together with skilled ABA therapists is the life-blood of successful interventions for children with autism spectrum disorder. These professionals apply behavioral principles with expertise to address repetitive behaviors and encourage meaningful progress. Here's what you need to know about finding qualified ABA practitioners and therapy sessions.

Finding qualified professionals

The right ABA therapist selection needs careful thought about several key factors. Parents should look for professionals with proper credentials. Board Certified Behavior Analysts (BCBAs) have completed strict educational requirements, including a master's degree or PhD in psychology or behavior analysis. On top of that, these specialists must pass a national certification exam and get a license to practice in some states.

Your evaluation of potential therapists should include their specific qualifications and experience:

  • Educational background in psychology, special education, or related fields

  • Certification from recognized organizations like the Behavior Analyst Certification Board (BACB)

  • Relevant experience working with children in your child's age group

  • Familiarity with addressing repetitive behaviors in autism

The therapist's approach to treatment planning matters significantly. Good ABA professionals create tailored strategies for each child's unique needs instead of using generic, one-size-fits-all approaches. You should ask about their methods for creating personalized intervention plans and how they include family input during goal-setting processes in your first meetings.

The right communication style leads to successful therapy outcomes. The best therapists show:

  • Clear, jargon-free explanations of ABA techniques

  • Readiness to answer questions and address concerns

  • Empathy and patience when discussing your child's challenges

  • Enthusiasm to work together with parents and caregivers

These resources help you find qualified ABA therapists nearby:

  • Recommendations from your child's pediatrician or developmental specialist

  • Referrals from local autism support groups or organizations

  • Online directories of certified behavior analysts

  • University-affiliated autism research centers or clinics

Note that finding the right fit takes time. Many parents talk to multiple therapists before making their choice. Trust your gut and pick a professional who matches your family's values and goals for your child's progress.

What to expect in sessions

ABA therapy sessions blend structure with flexibility to address your child's specific needs while adapting to their progress and challenges. Sessions usually run between 1 to 4 hours, based on your child's age, attention span, and treatment goals.

The therapy starts with a complete assessment phase. The BCBA will:

  • Conduct a Functional Behavior Assessment (FBA) to identify triggers and functions of repetitive behaviors

  • Set baseline measurements for targeted behaviors

  • Work together with you to set specific, measurable goals for your child's progress

Regular therapy sessions begin after the assessment. These sessions use various proven techniques, including:

  1. Discrete Trial Training (DTT): Breaking complex skills into smaller, manageable steps

  2. Natural Environment Teaching (NET): Incorporating learning opportunities into everyday activities

  3. Positive reinforcement strategies: Rewarding desired behaviors to increase their frequency

  4. Response Interruption and Redirection (RIRD): Gently interrupting repetitive behaviors and guiding towards more appropriate actions

Your child's ABA therapist collects detailed data on behavioral patterns, skill acquisition, and progress towards established goals during each session. This analytical approach allows continuous adjustments to the treatment plan, keeping interventions effective and responsive to your child's changing needs.

Parents play a vital role in successful ABA therapy. Your therapist will:

  • Give regular updates on your child's progress

  • Guide you on using ABA techniques at home

  • Schedule parent training sessions to help you understand behavioral principles

  • Welcome your active participation in goal-setting and treatment planning

You might notice gradual changes in your child's behavior as therapy moves forward. While improvements bring excitement, realistic expectations matter. ABA typically requires long-term commitment, with many children receiving 25 to 40 hours of therapy weekly for 1 to 3 years to achieve significant outcomes.

These tips help maximize ABA therapy benefits:

  • Keep open communication with your child's therapy team

  • Apply learned techniques consistently in all settings (home, school, community)

  • Celebrate small victories and milestones

  • Stay patient and trust the process since behavioral changes happen gradually

Your active engagement in your child's ABA therapy experience and close partnership with qualified professionals creates a supportive environment that encourages meaningful progress in managing repetitive behaviors and developing essential life skills.

Conclusion

ABA therapy is a proven approach to manage repetitive behaviors in children with autism. Research and ground success stories support its effectiveness. Families see meaningful improvements in their children's daily lives when they systematically implement techniques like positive reinforcement, visual supports, and structured interventions.

Each child's experience is different, which makes successful ABA therapy unique. A technique that works perfectly for one child might need adjustment for another. The best outcomes come from working with qualified professionals and tracking data consistently.

Parents make a vital difference in this process. Their consistent application of ABA techniques strengthens the results - from morning routines to bedtime. Many families achieve most important progress in managing repetitive behaviors and develop significant life skills.

Behavioral changes need time and patience. Small, achievable goals and celebrating minor victories create sustainable progress. Children with autism can develop better self-regulation skills and involve more meaningfully with their world through dedicated effort and professional guidance.

FAQs

Q1. What are some effective ABA techniques for managing repetitive behaviors in autism? ABA therapy employs several techniques, including positive reinforcement, response interruption and redirection (RIRD), and differential reinforcement. These methods help redirect repetitive behaviors, teach alternative actions, and reinforce desired behaviors. Therapists also use visual supports and structured environments to enhance predictability and reduce anxiety-triggered behaviors.

Q2. How long does it typically take to see results from ABA therapy for repetitive behaviors? The timeline for seeing results varies for each child. However, intensive ABA therapy, typically involving 25 to 40 hours weekly for 1 to 3 years, often leads to significant improvements. It's important to remember that progress is usually gradual, and consistent application of techniques across different settings is key to achieving lasting behavioral changes.

Q3. Can parents implement ABA techniques at home to address repetitive behaviors? Yes, parents play a crucial role in implementing ABA techniques at home. Therapists often provide parent training sessions to teach strategies that can be used in daily routines. Consistency in applying these techniques across various settings, including home, school, and community, enhances their effectiveness and helps generalize learned skills.

Q4. How does ABA therapy address both motor and verbal repetitive behaviors? ABA therapy uses tailored approaches for different types of repetitive behaviors. For motor behaviors like hand flapping or rocking, techniques such as redirecting to alternative movements or using sensory tools are employed. For verbal repetitions like echolalia, strategies focus on building functional communication skills and teaching appropriate responses through methods like script training and cues-pause-point techniques.

Q5. What role does data collection play in ABA therapy for repetitive behaviors? Data collection is fundamental in ABA therapy. It involves taking baseline measurements before intervention, then continuously tracking progress through methods like frequency recording and duration tracking. This data-driven approach allows therapists to assess the effectiveness of interventions, make necessary adjustments, and provide concrete evidence of behavioral improvements over time.

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