registered behavior technician

board certified behavior analyst

occupational therapist

speech language pathologist

medical receptionist

Pediatric Advanced Therapy

If you don't do anything else, please look at the responses from PAT management to reviews that aren't 5 stars. I wish I would have, and I would have saved myself from accepting employment from people who speak this way to anyone. It also shows their lack of ability to take criticism without resulting in personal attacks. 

Pro: I was excited to work in a multidisciplinary clinic and it could be a good thing if the collaboration was genuine and people listened to other perspectives 
-one of the OTs is amazing! Her clients seem to genuinely enjoy her and her sessions seem fun and productive. She allows them to lead and play as children do while also maintaining control of the session and structuring it as needed. 
-The RBTs were great at taking feedback and made tremendous progress and I am very proud of them!

Cons:
Multidisciplinary:
-constant tension between ABA and the other disciplines.
-other disciplines interfering in ABA interventions without asking, sometimes sabatoging the process
-other disciplines not willing to listen to things from an ABA perspective, but always wanting to give their input
-clinicians stare at children that are engaging in behaviors (yelling, aggression, etc.) (similar to the way strangers stare in public spaces like grocery stores when children “act out”)
-ABA clinicians are expected to accommodate to other disciplines and go out of their way to “collaborate” without the expectation of reciprocation. ABA clinicians shadow speech, OT and PT sessions during onboarding but other disciplines do not shadow ABA. This was brought to management, and they said they would change the process for the next group of new hires, but then they did the same thing with the new group. 
-Lots of drama and passive aggressiveness with no real method for addressing issues in a productive way
-very unprofessional environment
Client dignity:
-most clinicians promote masking. If you are unfamiliar, google what it is and what the effects are for autistics. 
-clinicians can be very handsy with clients
-company did not prioritize education on assent with clients
-Because of the lack of collaboration SLP and OTs often reinforce maladaptive behaviors or ignore contextually appropriate behaviors example: ignoring a client saying they didn’t like the food they were trying to get them to eat but proceeding to end the task when they get up and scream while throwing food away (if we reinforce the language then likely the behavior won’t escalate to screaming and eloping to throw food away). 
-The speech therapist currently on staff does not appears to even like kids. She often says things about kids in her sessions being “bad” or having to tell them she is the adult, and they are the child, so they need to listen. There have also been instances of her withholding food and water from clients as “motivation” to complete the tasks she’s asking.
ABA:
-I’ve worked at ABA companies in home, in school, in the community as well as in clinic and PAT is by far the worst ABA company I’ve ever worked for. 
-The “training” provided by PAT for new ABA staff leaves a LOT to be desired especially since they often hire staff with no prior experience in ABA. I wouldn’t advise against hiring inexperienced staff because everyone must start somewhere, but there is absolutely no way a new behavior tech can spend 1 week shadowing OT/Speech/PT sessions, 1 week observing ABA sessions (approximately 5 sessions), complete online training modules and then be expected to be prepared for solo session. 
It is not fair to the kids and their families to be put in sessions with clinicians who do not have the fundamental skills to provide ABA services. Best case scenario, the kid makes no progress and worst-case scenario the staff implements interventions incorrectly and causes regression in the client’s progress or escalates their behaviors. 
-The student analyst in Winston has a huge lack of comprehension of ABA concepts and procedures as well as a lack of motivation to learn or take feedback. Professionalism is nonexistent, so BCBAs considering this position should be advised that not only do they have a student analyst who does not have the skill to be an asset, but one who also goes out of their way to work against the BCBA in a clear power struggle as well as perpetuating the interoffice drama. 
- There is a ton of conflicting information given by the same people. I was told in my interview that BCBAs did 20% supervision, this is also what the clinical director told parents during intake assessments. The owner has planned caseloads based on 10% supervision and you can try to do 20% (if their treatment plan even allows it), but they will continue to push kids on your caseload until it is “full” which is based on 10% supervision.
- They are replacing an in person BCBA with yet another BCBA doing primarily telehealth (with in person supervision 1-2 times a month). 
In my opinion telehealth supervision is never an adequate long-term solution for clients or behavior techs, but especially in this clinic. This leaves Winston with not 1 single person in the clinic to turn to for support and a clinic full of techs who have really shown great progress and almost all verbally expressed feeling much more supported having a BCBA in person to answer questions on demand, model interventions and just be available to help whenever needed in session.
The owner is clearly driven by money, as so many ABA clinics unfortunately are, so the client’s interest will always take a backseat to his ultimate goal.

I initially applied to PATKids straight out of grad-school when the counseling department was one person. Unfortunately, the position closed as it was extensive to pilot a counseling program. While doing community-based mental health services, the burn out was creeping so I started my search. Burn out is real, but in this case, I feel like it was an opportunity because PATKids opened up a position again with a small counseling team to join. I have been with PATKids, going on 3 years and I never would have thought that I would be where I am today - especially knowing the social work field in NC. Since being at PATKids, I have felt valued with compensation and opportunities for professional growth and development. Within the span of 2 years, I started as a clinician and have witnessed the opportunity for clinical growth and leadership - as well as the clinical field within pediatrics for all the disciplines to learn from. The kids are the joy and PATKids truly holds the value of being child-centered. Each time you hear a kid coming in, you can expect a therapist to say behind them, "What should we do today?" I do not feel the Sunday Scaries anymore and have honestly found where I want to nest.

Cons
With any employment, there are some areas for growth. Any time there is an opportunity for growth within the clinical departments, it is always heard and validated. With validation, there is also an initiative to be solution-oriented. There is a difference in employers listening to you and being heard. Whenever there is an opportunity for systemic change, clinical leadership ensures they carve out time to hear and organize a plan for next steps. There were times when as a new clinician to the field and all the various disciplines, I felt confused because it is a learning curve. Collaboration at PATKids is mutual - giving and receiving. The mentor program has been expanded to all the disciplines since this area of concern has been brought up.

It has been rewarding to see my clients' growth. There has been better support since I started, but there is room for improvement.

There's a BCBA who still operates via telehealth, but they do come in for a few days during the month, which is helpful. I've noticed that the quality difference is still present, but it's effective and better than 100% online BCBA. There isn't a person solely dedicated to in-person support for the BTs and RBTs yet due to low staffing, so once that gets established, I'm sure the BTs and RBTs' experiences will improve.

It does get loud in the afternoons since most of the kids come and occupy a certain area, so that can be overstimulating at times. There are days where it can be hard, but the job is rewarding when you focus on your client.

I wish there was a formal way of passing information off to the client's parents. Should there be a discussion of subheadings to include in the reports at the end of the session rather than a slip of paper that offers minimal guidance? Parent communication and applying therapy techniques is crucial for generalization purposes, so there can be a step back in growth if the team is lacking communication and knowledge of what is occurring in therapy. So I hope to see improvement in this area for current/future employees and the kids.

If you have concerns, schedule a meeting with the clinic directors to try and resolve the issue or at least mediate it. It will improve your experience here if you advocate for yourself and others early on.

There needs to be a better system for showing employees how much available PTO they have because long-term employees have also expressed confusion. The Excel sheet is disorganized and creates more confusion. Other companies that I worked with have an automatic calculator that the employees can view at any time. A system like that could be implemented to improve in this area.

I worked here for a total of 3 months as an RBT. When I started, it seemed pretty good, everyone was kind and I was promised guaranteed hours. That changed quickly. Once I finished training, I had no permanent clients and would have a total of 10 hour work weeks. I never received the 30 hour guaranteed pay, and they also dropped the pay rate significantly when doing admin work, which was not disclosed during training. The BCBA of the location at the time was very passive aggressive. They were promoting individuals as lead RBT even though they were not registered or qualified for the position. I once opened a company tablet and saw that the “lead” RBT and BCBA were bad mouthing employees through the teams chat. I have been an RBT for almost 3 years and have never been told I was bad at my job by a BCBA until I came to this company. The lead RBT and lead BCBA would never be there to assist. They would pick favorites and if you didn’t think like them, they would exclude you and make sure you felt uncomfortable. There was also an instance where they put a child in a room with no windows or toys and forced an RBT to just sit there for the entire session and lie to parents about what they worked on during their time together. This lasted throughout my time at the company and when I mentioned something about it, I got written up a day later. The ABA portion of this company needs a crucial revamp and new management. 

Pediatric Advanced Therapy is one of the largest pediatric clinics in the Carolinas, and it shows! The level of support provided is outstanding. There is always someone to provide guidance and learn from, across all disciplines. You get to collaborate with a variety of different fields, which helps to treat the child. The company also provides CEUs every year that therapists can attend for free, to help with professional development.
New hires enter the mentor program, where they are paired with a senior therapist. The mentor program guides the new hires through evaluation procedures and helps with treatment techniques. It's really helpful and allows the new hire a period to get their footing in a new job.
In the past, there have been some bumps in the road related to the extreme rate of growth, but the company seems to be at a steady spot right now, and is able to focus on the various clinics and the therapists within. Everyone seems open to feedback as well.
Pediatric Advanced Therapy is a great place to work for any clinician, new and old to their field

There is no Director of ABA on site at the clinic, which leaves in-clinic BCBAs overworked and carrying a disproportionate amount of responsibility compared to hybrid BCBAs. The leadership structure lacks adequate knowledge of ABA operations the current Director of ABA oversees eight clinics but appears underqualified and overwhelmed, resulting in minimal oversight and inconsistent clinical standards.

The clinic environment is poorly maintained, and location leads from other disciplines often neglect essential duties related to safety and cleanliness. The onboarding process for new technicians and BCBAs is extremely weak, with no structured training, no quality assurance team, and no ethics in place to ensure compliance or best practices.

Overall, the organization suffers from systemic disorganization, lack of accountability, and minimal clinical leadership support, making it a challenging and unsustainable environment for BCBAs seeking ethical, evidence-based practice.

PAT's biggest strength is its team of therapists. Therapists are supportive, friendly, and someone is always able to help. The families PAT serves are wonderful. Pay structure has been reorganized for more fair compensation, and the benefits are decent (health insurance, CEUs, state license reimbursed)
The issues with the company are with management. Miscommunication is common and needs are not always met. The owner bit off more than he can chew with expansions and growth. Existing therapists and locations get pushed to the side when a new program or location is in the works. Wishlist items for materials, testing supplies, and clinic upgrades are not made a priority. It's very clear that, from the business side, it's all about the money here.
But, as with any job, it's what you make of it. If you are able to go to work and focus on your clients and not get caught up in the drama behind the scenes and with management, then PAT is a fine place to work.

PAT has always had a high value on quality care and provides and seeks out opportunities for continuing education for our staff focussed on areas where they have need. The family feel is palpable in all locations. Therapists get together outside of work consistently to hang out and really enjoy everyone they work with. 
Our clinicians specialize in many areas. I learned more in 1 month at PATkids than I did in a whole year in another pediatric clinic. 
I truly believe there is nowhere better to work or grow as a Pediatric Clinician.

Management works really hard to get and use feedback from therapists to improve processes, work-life balance, quality of care, etc.

I enjoy working at PAT on the administrative side of the business. I'm happy to show up for work each day and feel motivated to do a good job. Our team is super supportive and I love all of my coworkers. PAT is growing fast and that does sometimes make things challenging. I do see some struggles in this but overall I think we are making a positive impact for our clients and their families. 

I have a special needs child myself and feel supported in this work environment that has a special understanding of what it's like to be a special needs parent.

Like with any company, I encourage coworkers who are stressed to be proactive in asking for help or change. There are some consistent struggles that we endure in serving the peds population - late afternoon appointment times, higher cancellation rate, etc. but I think we are doing our best we can to support our staff in these issues. It is not perfect, but we always want to do better.

Working as a remote BCBA in this position has been a truly rewarding experience. One of the aspects I appreciate most is the level of support from the in-person staff—they’re always willing to step in and help when I’m unable to be on-site, which makes collaboration and continuity of care seamless even from a distance.

The flexibility of this role has also been a game-changer for my work-life balance. I’ve been able to manage my caseload effectively while still making time for personal responsibilities, and that balance has helped me stay both productive and fulfilled in my work. 

Overall, this position offers the ideal combination of professional support and autonomy. I feel valued as a team member, even while working remotely, and I’m grateful to be part of such a responsive and accommodating team.

Top Job Titles	Average Salary
Registered behavior technician 97 salaries reported	$23.27 per hour
Board certified behavior analyst 29 salaries reported	$94,966 per year
Occupational therapist 37 salaries reported	$65,446 per year
Speech language pathologist 13 salaries reported	$77,538 per year
Medical receptionist 8 salaries reported	$15.25 per hour

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