registered behavior technician

board certified behavior analyst

regional clinical director

center director

behavior technician

Grateful Care ABA

I, unfortunately, had a horrible experience working here. They absolutely seem like an amazing company on the outside but everything starts to fall apart when you get on the inside.

First and foremost, they do not pay you for every minute that you work. To explain, the clinic that I was employed at did not have a clock-in and clock-out system. The time you arrived to the clinic was not the time you would begin to get paid. They pay you based on the arrival of your client AND round that by intervals of 15 minutes. So, if you arrive at 9am but your client doesn't arrive until 9:10am, then your billable hours start at 9:15am (even if you were preparing for your client since you arrived - aka. doing your job). That leaves 15 minutes of unpaid work. Though, you do have the option to do chores/other tasks before your client arrives for ***half your rate of pay! Also, you're expected to finish your billing note within the last 15 minutes of your scheduled time with your client but if you don't, you're not permitted to stay after to finish and if you do, you will not be paid for that. Additionally, if you're part-time and you get off at 1pm but you're not able to switch off of your client until 1:06pm, then you will not be paid for that time you had to stay after.

Second, they have unclear and unspecific policies. This leaves a lot of the interpretation of the policies up to the company. This can add a lot of stress when trying to follow their policies.

Third, there is very little support when you are out on the floor. Very rarely were the BCBA's or other non-RBT staff available to assist with clean-up help, bathroom breaks, or minor behavior support. They also had a very unreliable communication system. It took them a couple of months after I started working there for them to have a group chat created where you could reach out to everyone all at once. Even with the newly implemented system, those available to provide assistance had to have the time to look at their phone to even see the messages you were sending out.

Overall, please, do not work here. They say they care about you as RBT's but they really don't. They don't care about burnout. They care more about money than they do improving their business. I would love if they had a greater focus on the ethics of the BACB.

This company is doing a lot of things right! They are trying their best to provide ABA to a lot of the community that otherwise does not have access to services. Management is easy to talk to and supportive. BCBA’s have the option to meet once a week for virtual clinical reviews which are highly beneficial for collaboration. You mostly get to create your own schedule. However, being an in home BCBA there are constantly cancellations or staff calling off. Your schedule is never consistent and this would option result in lack of billing or doing consults into the evenings to make up time.

The company does not pay the RBT’s for holidays, PTO is low overall for everyone, RBT’s would lose out on work for days at a time due to the client cancelling sessions for a multitude of reasons (illness, sick sibling, family not sleeping well, vacation). And there’s usually not any opportunity for the RBT to fill in elsewhere or work. I had multiple great RBT’s quit due to constant loss of hours. The company states the high rate of hourly pay is to make up for this however other companies offer this same rate of pay with paid holidays and more consistent hours.

There wasn’t really on onboarding process. You kinda learn as you go. This was a little stressful. You get free reign of how to utilize the program Central Reach; after being professionally trained in the use of Central Reach later in my career after working here, the program is not being used to the potential that it could be (it can write a whole authorization for you off the learning tree instead of typing up a separate report which wastes a lot of time, also no library of goals to import you have to write them all from scratch, and the VBMAPP assessment tool isn’t utilized on the program at Grateful Care you have to do it all separate in an excel doc).  

Overall I felt supported, I made good compensation, I had a lot of freedom. I made amazing relationships with families and RBT’s. The therapy is naturalistic and aimed to fit families’ lifestyles.

This company allows families to receive the care they need in the environment that best fits the needs of the learner whether that be home, center, school, hybrid.  It’s amazing to have clinical autonomy to be able to recommend exactly what is medically necessary for the learner.  The pay is great for both BCBAs and RBTs. Great flexibility is provided. However, changes are often made and not communicated to everyone involved, though and there is minimal opportunity to receive or provide feedback outside of to the RBTs. They do offer CEUs and that’s awesome, but there isn’t a CEU budget/reimbursement option. BCBAs do not get paid for any work outside of billable hours and they get paid an almost nonexistent amount for their weekly BCBA meetings. There does tend to be some favoritism observed to certain RBTs, but that’s likely region specific and not observed across the company as a whole. Overall, I would say if you’re looking for flexibility, this is the right place. 

Typical day at work first day of work you meet your bcba and you’re only with them for a hour or two then you look over their bip if they have one. You ask questions about programs that are there if you need to. Management is no help they change your schedule without telling you or change your client. Hardest part was communication with bcbas and management they didn’t seem well trained for the positions they were in. I would never recommend a RBT from a clinical job to choose this place this was the worst decision of my life. They think that 30 hours or less is full time. That’s not is not full time hours ! Don’t leave your current job for this one they try to make you believe going to them for higher pay is way better it’s NOT! 

As an hourly BCBA you can make bank, but they expect BCBAs to also be case managers which includes a lot of un billable work.  You end up doing A LOT of work for free because it's unbillable.. They say they care about quality services, but they staff one RBT per kid in the home.  It would burn any staff member out being with the same kid for 40 hours weekly!  Payroll also was frequently messed up with paychecks being incorrect if they even got one.  Also there is a weird dynamic between the quality assurance, vp of operations person and the ceo and don't actually move on provided feedback from the team after they're the ones soliciting it.  I was hyped to work for this company at the start, and quickly ended up regretting it because of the corporate greed and lies.  Working here was a huge let down.

Grateful Care ABA has been a wonderful company to work for as a BCBA. I was experience so much burnout and work life/home life imbalance with the other two companies that I worked for previously. I was hesitant to make the change due to there not being a clinic in my area, but I could not be happier. Despite not seeing other BCBAs on a daily basis, I continue to feel supported, can reach out for help whenever I need it, and have a team of other BCBAs willing to help whenever possible. Communication within this organization is far superior to the communication I had with previous employers that I saw regularly. The leaders of Grateful Care are always striving to make sure our company meets the highest standards of providing ABA therapy in homes, schools and the clinics around the state. 

I have worked for Grateful Care ABA for almost 2 yrs now and after working several other companies looking for the right fit, I didn't find the right fit here....I found the PERFECT fit!!! The company is awesome to work for with great ppl leading. The benefits and pay they offer are wonderful. But even better the work to life ratio is exceptional! You don't become an employee here you become family. As far as how they treat those that they serve. They treat them as family as well. I have never seen a company work so hard to ensure that clients lives are treated with the upmost respect and love. They treat each child as if it were their own child bc they end up being just that, a part of a bigger family. I will never work for another company. I found home!!!!!

I had a really frustrating experience with this company. It’s clear that they don’t value their staff’s time or well-being. There’s a significant lack of communication within the company, both internally and with employees. When issues arise, there’s no effort made to resolve them, and if you try to reach out for clarification or support, you’re ignored.

It seems that the company cares more about money than fostering a positive work environment or treating their staff with respect. If they don’t need you, you’re quickly forgotten. I’ve attempted multiple times to communicate, but no one ever responds. If communication and being treated with respect are important to you, this is definitely not the company to work with.


Grateful Care ABA is the most inspiring place to work. Employees and client's and their families come first in all aspects. Communication in the ABA world is crucial! At Grateful Care, all employees are communicated with daily, supported in difficult situations, encouraged to speak out with problems as well as possible solutions, and anything in between. If you're looking for a company who is doing all of the things that you wished for in other ABA companies, this is the place for you. High quality therapy, high quality staff, supportive supervisors, and overall good vibes and culture. Best decision I've ever made in regards to making a job change! 

What is the best part of working at the company?
The kids, and they at least tried to get me the amount of hours I needed.

What is the most stressful part about working at the company?
Little to no organization. All the daily tasks of the clinic are put on the RBTs and it’s incredibly poorly ran. BCBAs are lazy. Overall they do not care about the kids at all, they are only in it for the money and it shows. 

What is the work environment and culture like at the company?
Cliquey with the higher ups. They either like you or completely ignore you. Half of the RBTs ignore their kids half the time and don’t actually do their jobs and face no repercussions.

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