registered behavior technician

board certified behavior analyst

aba therapist

behavior technician

revenue cycle specialist

Lacuna Autism Services

Working at Lacuna since the very beginning, I was able to see the good, the bad, and the ugly.

Firstly, the employees (RBTs) were amazing. All of them were some of the kindest and dedicated people I know. It was truly a blessing to be able to come into work and have such a good group of people dedicating their time and efforts to building such great services. I truly couldn’t have been more proud to have the coworkers I had. The kids were also amazing. Each one really brought a different personality and taught you in various ways. I truly loved being around the kids and my colleagues. 

The pay is not great. Often times, you are fighting for .25 cents and there were major pay discrepancies while I was there. For example, you could be making a lower amount with more experience and another person could have less experience but make more. When asking for a raise or discussing their pay scale, it always felt like you were having to write a whole other résumé. There were times the scheduling was chaotic and there could be a lot of coverage available or none depending on the time of year. Operations typically did their best to assist but not everything was always perfect. 

Lastly, the managemet and leadership team was disappointing to say the least. The treatment that the management (CEO, President of Operation, and National Clinical Director) was by far the most disappointing part of the entire job. The people who you look to when a serious concern is voiced do not actually do anything to improve the environment when serious incidents occur. They are very unprofessional and lack accountability when mistakes occur. This includes failing to inform families when their child was subjected to witnessing higher ups (President of Operations) yelling and being disrespectful towards staff members. Mind you, these are supposed to be the people enforcing the “mission statement” that they have on their webpage and their indeed application. They heavily lack communication. Often times, you have to email multiple times to get any response. Their open door policy was more of a closed door policy considering how hard it was to get your concerns met because they also don’t have a proper HR department. Each time it was asked, a different person was named as HR. It made it uncomfortable to voice concerns when there were dual relationships between “HR” and the leadership team. Meaning, you could present a very valid concern and you’ll be made to feel like it is being properly handeled only to be told their “due diligence” was not completed. 

They do not have a proper security system as well. There are no cameras in the room. For example, someone can come into the room and be inappropriate and disrespectful and it’ll be your word against theres. They only have Amazon cameras in the main rooms. Multiple times when requesting to see a footage of something, you were told “the camera did not catch it.” It truly made for an unsafe work environment due to the fact that it is a clinic filled with children. 

The building is also falling apart with multiple safety hazards such as leaking ceilings, falling exit signs, and broken AC. The building floods when it rains really hard. 

The value and moral has faded over the years. Best of luck if applying here.


Working as a BCBA at Lacuna Autism Services has been a rewarding and positive experience. The company is dedicated to high-quality, individualized ABA therapy while also fostering a supportive and collaborative work environment for clinicians.

One of the standout aspects of working here is the autonomy in scheduling. BCBAs have the flexibility to create their own schedules, allowing for a strong work-life balance. Additionally, work-from-home days are available for administrative tasks, making it easier to stay on top of reports, treatment planning, and parent communication without unnecessary stress.

The billable expectations are reasonable and manageable, making it easier to focus on providing effective interventions rather than just meeting a quota. Another great benefit is the pay structure—any billable hours worked beyond the required amount are compensated at an additional hourly rate, which is paid out as a bonus. This setup provides financial incentives without putting undue pressure on clinicians.

Caseloads are well-balanced, allowing for meaningful supervision of RBTs and individualized treatment plans for each client. Leadership is receptive to clinician feedback and is committed to providing ongoing training and professional development opportunities.

Like with most ABA providers, scheduling can sometimes be unpredictable due to client and family needs, but the flexibility in managing your own schedule helps mitigate this challenge. Overall, work-life balance is better here compared to many other ABA companies, and the organization continues to find ways to support its clinical team.

I joined Lacuna with the promise that they really care and they aren’t like every other aba company. This is a complete lie.  Scheduling is inconsistent and unorganized. I’ve frequently shown up for sessions that have been canceled and, no one bothered to informed me. Upper management is incredibly passive aggressive and unprofessional. I’ve watched countless employees have their hours dramatically cut or,  taken away all together. Scheduling and upper management DEFINITELY has favorites, if you are not willing to kiss their butts and answer their every beck and call you will not be favored at all. They have no concept of work life balance and are certainly under the impression they own you. If a kid cancels for whatever reason they might offer you admin time which they will fail to tell you is compensated at minimum wage. Again I have been sent home plenty of times because my clients didn’t show up and I wasn’t not told, only for them to try and call me back in hours later to cover someone else (which never feel like a choice) it’s always “super important” and their “last result”. Some of the bcbas are really burnt out and so obviously don’t want to be there, it’s sad to watch bcbas be overly aggressive and harsh on their kids because of career decisions THEY made. Some of the rbts are awesome and some are just okay. The kids are obviously the coolest kids ever and deserve so much better. That being said you do get good supervision time, and the leads and  others that really care about the clinic work really hard to keep morale up and, keep everyone engaged and excited. Unfortunately that’s just not enough to justify being a employee at Lacuna(as you can see by their high turnover rate). Upper management and bcbas need to be completely revamped. They put on a great show but sadly a show is all it is. They’re in it for the money like all the rest, and do not care about kids or employees.

In my opinion this company has some amazing parts to it but is overshadowed by very negative traits and practices.  Kids and the devoted staff that actually like being there are amazing. The BCBAs have good and bad days, but they do care. Being overworked and burnt out in my opinion makes the workplace culture toxic and discouraging. It’s my opinion that the evolution of how this company is run and how issues are handled have vastly changed and not for the better. In my opinion leadership is unsupportive and talks you in a circle until you’re confused. Pay is mediocre for the current climate in ABA in Vegas, and hours are sparse when kids and staff are sick. The hardest part of the job was completely disregarding personal life and anything outside of my job for the benefit of Lacuna. I believe people can be taken advantage of when they care an immense amount for the kids and families we work for. I was to be available 24/7. Cancellations and  call outs are severe, for both staff and clients we provide service for. Upper management in my opinion is very negative and unsupportive. Minimal praise for positives and high punishment for negatives. I did not feel respected or heard in multiple situations I believe should’ve been escalated. Some incidents with children should not have occurred. Some incidents with staff and leadership should not have occurred either. The local operations and clinical team are very good at their jobs and the hand they’ve been dealt. Lacuna can do way better, I hope they can turn it around. The kids and families and staff deserve that! 

Working at Lacuna Autism Services has been a truly rewarding experience. From the moment I joined the team, I was impressed by the supportive and collaborative environment fostered by management and colleagues alike. The company places a strong emphasis on professional development, providing ongoing training and resources that have helped me grow in my role and better serve our clients.

One of the standout aspects of Lacuna is its commitment to individualized care. We focus on each child's unique needs and strengths, which not only benefits the clients but also creates a fulfilling work atmosphere. I appreciate how the team collaborates to develop tailored programs, and I feel like my contributions genuinely matter.

The culture here promotes open communication, where everyone’s ideas are valued, and feedback is encouraged. It’s inspiring to work with a group of passionate individuals who are dedicated to making a difference in the lives of children with autism and their families.

Additionally, the management team is approachable and genuinely cares about employee well-being. They prioritize work-life balance, which is crucial in a field that can be demanding. I feel supported in my role, and the team’s camaraderie makes every day enjoyable.

Overall, I highly recommend Lacuna Autism Services to anyone looking to make a meaningful impact in the field of ABA. It’s a place where you can grow, learn, and truly contribute to the lives of the families we serve.

My time at this company started out amazing! I had come from a rough ABA company so the size and the culture were appealing for a little bit. Not long after, a BCBA was yelling at me for things that were not my fault and not in the behavior plan, taking out outside issues on other RBTs, and making inappropriate conversations. When reported, and mediation requested, no mediation happened and he would simply act a lot nicer for a few weeks before more incidents would happen. The clinic director had a close outside relationship with this BCBA. This was the experience for several RBTs and is most of the cause of the current high turnover rate. There were no apologies given and no accountability taken, which is dangerous for such a delicate field. They told multiple people to “care less” which once again, when working with kiddos with autism, you HAVE to care. 
Hours and pay were decent when you were fully available, a bit of a struggle if you’re in school or have other commitments.
Not once did the upper management at lacuna even attempt to have my back, continuously choosing to blame me for issues I verifiably did not cause from my first month of working there to my last. I cannot say I’ll miss this place but I will deeply miss my kiddos. 
If you’re just looking for a job that will not care what you do, then apply here :)))

​The Best Part
​The absolute highlight is the direct impact you have on the kids. There is nothing quite like the feeling of seeing a child master a skill they’ve been struggling with or finding their voice for the first time. Watching that growth happen in real-time makes the job feel less like "work" and more like a purpose. Plus, you aren’t on an island; the ability to bounce ideas off teammates and get support when a session is tough makes a world of difference.
​The Most Stressful Part
​The role requires a high level of mental agility. Every child is different, and their needs can shift from one hour to the next, which can be draining if you aren’t prepared to pivot. It’s a fast-paced environment where you’re constantly "on," but you definitely find your rhythm as you get to know the clients better.
​Environment & Culture
​The culture is centered on clinical excellence and teamwork. It’s a very structured atmosphere, which is necessary for the kids to succeed, but it’s balanced by a staff that genuinely cares about one another. It feels like everyone is pulling in the same direction. If you’re professional and ready to collaborate, you’ll fit right in—people here are quick to lend a hand because they know how demanding the work can be.

I worked here for about 6 months, and when I first started working here, I enjoyed the fun activities that were available for the kids. Unfortunately, the longer I stayed employed, I noticed signs of favoritism with scheduling and supervision opportunities. This company does not provide coverage opportunities equally for everyone when cancellations occur. I signed on as a full-time employee (35-40 hours) every week, but due to high cancellations and the management providing coverage to the preferred employees, I would end the week with 15 hours, which is nowhere near what I was promised. 
The staff also did pride themselves on implementing behavior analytic practices that did not align with the ethical codes that we are supposed to follow, which led me to look for places that would follow the ethical guidelines and took compassionate care into account. Supervision was only provided if you were part of the favorited group, and the quality of supervision was mediocre art best. Supervisors would schedule 1 hour supervision, then leave halfway through and did not return to complete the supervision.
The kids were amazing though! Best part of the job by far.

I truly love my job at Lacuna! First off, the whole environment is better than my last clinic and far less toxic. Everyone is so caring and supportive. Nearly all of my fellow RBTs are helpful and considerate. We are all a team and help each other out whenever possible, whether that is stepping in to give a tech a break or just asking if someone needs support while dealing with high behaviors. In this job it truly takes a village and I feel we have that here at Lacuna. The thing I love the most is that I don't see and hear a lot of gossip or hatefulness going around the clinic like at my last job. We are here to do meaningful work and most everyone here understands that. Obviously, everything isn't always sunshine and rainbows, but when there are issues they are pretty quickly dealt with. I love love love my BCBAs!! Two here really pushed me to pursue my BCBA certification and now I'm in my program and working on getting my fieldwork hours completed. The BCBAs and RCD are super supportive and helpful. If I have any questions or need anything, they are quick to help whether it's about becoming a BCBA or my work as an RBT. When in session, they are super helpful and supportive and great at giving me feedback so that I can become a better technician. I truly love it here at Lacuna!

What is the best part of working at the company?
I’ve had a positive experience working at this company. The team environment is collaborative, and management is generally supportive and open to feedback. I’ve appreciated the opportunities to grow professionally, take on new challenges, and develop my skills

What is the most stressful part about working at the company?
I would say nothing. The company does a good job of recognizing employee contributions and fostering a culture where people feel valued.

What is the work environment and culture like at the company?
The work environment is collaborative and supportive, with a strong emphasis on teamwork and open communication. Management encourages feedback and creates a space where employees feel heard and valued. The culture promotes professional growth, and there are opportunities to take on new challenges and develop skills.

What is a typical day like for you at the company?
A typical day involves working directly with clients to implement individualized behavior intervention plans under the guidance of a BCBA. Sessions usually include one-on-one therapy focused on skill development, behavior reduction, and reinforcement strategies.

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