Piece by Piece
- Company typePrivate
- Founded2016
- HeadquartersMonticello, United States
- Headcount101–250
- GTM typeB2C
- OfferingServices
What Piece by Piece does
Piece by Piece Autism Centers was an Indiana-based, privately held for-profit provider of Applied Behavior Analysis (ABA) therapy for children with autism spectrum disorder. Founded in 2016 and headquartered in Monticello, Indiana, the company operated center-based ABA services aimed at addressing communication deficits, social skills deficits, daily living skills, and problematic behaviors in pediatric patients. The underlying service model was clinical labor-intensive rather than technology-driven, with the source material explicitly characterizing ABA as therapy that can be administered by workers with minimal qualifications.
The company operated a single-payer, single-segment revenue model: one hundred percent of revenue was generated through Indiana Medicaid billing for ABA services. Billing rates reached up to $640 per hour, which the source material notes exceeded the national average by more than tenfold and surpassed typical annual Indiana Medicaid spending for conditions such as newly diagnosed lung cancer or year-long nursing-home care. In 2023 the company received $29 million in Medicaid payments for treating 84 patients, an average of approximately $340,000 per child, and accumulated $58 million in total Medicaid billings between 2019 and 2023.
Piece by Piece came under regulatory scrutiny following a Wall Street Journal investigation into questionable billing practices. In 2026, the Indiana Family and Social Services Administration revoked its Medicaid provider agreements, and the company ceased operations in May 2026. Patient operations were transitioned to Applied Behavior Center for Autism, another Indiana ABA provider with 21 or more centers statewide. The company's operating status is closed.
Piece by Piece firmographics
Firmographics- Name
- Piece by Piece
- Legal name
- Piece by Piece Autism Centers
- Website
- https://piecebypiececenter.com
- Company type
- Private
- Founded year
- 2016
- Operating status
- Closed
- Headcount range
- 101–250 employees
- Ownership category
- akta.pro rank
Piece by Piece industry classification
Industry- Product category
- Autism Therapy Services
- NAICS
- Offices of Physical, Occupational and Speech Therapists, and Audiologists (621340)
- SIC
- Services-Health Services (8000), Services-Specialty Outpatient Facilities, Nec (8093)
- akta.pro primary industry
- ABA Therapy Providers (Clinic-Based) (EDAKAHAA)
- akta.pro secondary industry
- Autism Early Intervention (Educational) (EDAKAKAB)
Keywords
Where Piece by Piece is headquartered
LocationHeadquarters
- HQ city
- Monticello
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Piece by Piece business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D
Revenue model
- Medicaid ABA Therapy Services: Revenue was generated entirely through Medicaid billing for applied behavior analysis (ABA) therapy services provided to children with autism. The company charged up to $640 per hour for ABA services, receiving $29 million in Medicaid payments in 2023 for 84 patients. Total Medicaid billings between 2019-2023 reached $58 million.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Usage-based | Pay-as-you-go | Hourly ABA therapy billing rates |
Distribution channels1 record
Piece by Piece product offering
Product offeringCore offering
Piece by Piece Autism Centers provided Applied Behavior Analysis (ABA) therapy services to children with autism spectrum disorder. The company delivered ABA therapy to develop communication skills, social skills, daily living skills, and reduce problematic behaviors, billing up to $640 per hour and receiving Medicaid reimbursements for services rendered.
Differentiator
Problem solved
Functional benefit
Products and services
- Applied Behavior Analysis (ABA) Therapy Services
Companies that use Piece by Piece
Customer profileSegments1 record
Ideal customer profiles1 record
Piece by Piece technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Piece by Piece partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- Applied Behavior Center for AutismcoreOperations of Piece by Piece Autism Centers are being taken over by Applied Behavior Center for Autism following the shutdown. Applied Behavior Center for Autism is another Indiana-based ABA provider that has 21+ center locations throughout Indiana and has itself faced $2 million in settlements in 2023 over billing practices.
Scale indicators4 records
Recent moves5 records
Expansion highlights2 records
Piece by Piece competitors and assessment
Company assessmentDirect peers
- Behavioral Innovations: Multi-state center-based ABA therapy provider offering clinic and home-based services to children with autism. Comparable operating model, payor mix, and target demographic to Piece by Piece.
- Hopebridge: Large multi-state ABA therapy provider with significant Indiana center presence, offering center-based ABA, diagnostic, and occupational/speech therapies to children with autism. Closely comparable operating model and Medicaid billing approach.
- Autism Learning Partners: National ABA therapy provider offering center-based and home-based services with a multi-state Medicaid and commercial payor mix. Comparable operating model, scale, and target demographic to Piece by Piece.
- Trumpet Behavioral Health: Multi-state ABA therapy provider offering clinic-based services to children with autism. Comparable operating model, clinical scope, and Medicaid reliance to Piece by Piece, with broader geographic distribution.
- InBloom Autism Services: National ABA therapy provider operating clinic-based centers serving children with autism, with a heavy Medicaid payor mix. Directly comparable clinic-based ABA model and pediatric autism focus.
- Proud Moments ABA: National ABA therapy provider delivering center-based and home-based services to children on the autism spectrum. Directly comparable service offering, payor mix (including Medicaid), and clinical scope.
- Centria Healthcare: National provider of center-based and home-based ABA therapy for children with autism, with significant Medicaid exposure. Directly comparable service model and payer mix.
- Applied Behavior Center for Autism: Indiana-based ABA therapy provider with 21+ center locations statewide. Directly comparable as a clinic-based ABA operator serving the same Indiana Medicaid population, and explicitly the successor entity taking over Piece by Piece's operations and patient roster.
- BlueSprig Pediatrics: National clinic-based ABA therapy provider serving children with autism, with payer mix spanning Medicaid and commercial insurance. Directly comparable service offering and operating model to Piece by Piece, but at significantly larger national scale.
- Lighthouse Autism Center: Indiana-headquartered ABA therapy provider operating multiple center locations across the Midwest. Directly comparable clinic-based ABA model targeting the same Medicaid-funded pediatric autism population in Indiana.
Market position
Strengths3 records
Weaknesses5 records
Competitive moat2 records
Key risks6 records
Key highlights4 records
Customer concentration
Piece by Piece social profiles
Digital presencePiece by Piece financial estimates
Financial estimateRevenue estimate
Valuation estimate
Piece by Piece leadership team
Management profileNumber of profiles
Piece by Piece funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Piece by Piece M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Piece by Piece
What does Piece by Piece do?
Piece by Piece Autism Centers provided Applied Behavior Analysis (ABA) therapy services to children with autism spectrum disorder. The company delivered ABA therapy to develop communication skills, social skills, daily living skills, and reduce problematic behaviors, billing up to $640 per hour and receiving Medicaid reimbursements for services rendered.
Is Piece by Piece a public or private company?
Piece by Piece is a private company. It is classified as unknown and is currently closed.
When was Piece by Piece founded?
Piece by Piece was founded in 2016. It employs 101 to 250 people.
Where is Piece by Piece based?
Piece by Piece is headquartered in Monticello, United States, in the North America region.
How does Piece by Piece make money?
One revenue line is on record: medicaid ABA Therapy Services.
Who are Piece by Piece's main competitors?
Direct peers on record are Behavioral Innovations, Hopebridge, Autism Learning Partners, Trumpet Behavioral Health, InBloom Autism Services, Proud Moments ABA, Centria Healthcare, Applied Behavior Center for Autism, BlueSprig Pediatrics and Lighthouse Autism Center.
Does Piece by Piece have an API?
No public API is recorded for Piece by Piece.
What industry is Piece by Piece in?
Piece by Piece's product category is Autism Therapy Services. Its primary akta.pro industry code is EDAKAHAA, ABA Therapy Providers (Clinic-Based), with a secondary code of EDAKAKAB, Autism Early Intervention (Educational). Its NAICS code is 621340 and its SIC code is 8000.