Positive Reinforcement PLLC

What Positive Reinforcement PLLC does

Positive Reinforcement PLLC is a Virginia-based Professional Limited Liability Company that delivers Applied Behavior Analysis (ABA) therapy to individuals with autism spectrum disorder, Down syndrome, and other developmental differences. Founded in 2017 and headquartered in Bluemont, Virginia, the company employs 23 staff and operates across Virginia, West Virginia, and Kentucky, serving children and adults through in-home, school-based, community-based, and telehealth delivery modalities. Its service portfolio spans the full ABA care continuum — skills assessments, functional behavior assessments, treatment planning, supervision of treatment, communication skills training, problem behavior reduction, social skills training, toileting and self-care skills, and therapeutic consultation — with specialized programs for homeschool and military families. The core methodology is evidence-based ABA, delivered by Board Certified Behavior Analysts (BCBAs) and Registered Behavior Technicians (RBTs), with the founder (identified as Ashley Hambrick) bringing nearly 15 years of clinical experience.

The underlying technology is the applied behavior analysis discipline itself, structured around individualized treatment plans, functional behavior assessments, and techniques such as forward and backward chaining to teach functional skills (communication, social, daily living) and reduce maladaptive behaviors. There is no proprietary software platform; service delivery relies on BCBA/RBT clinical labor, supplemented by telehealth for remote sessions and a website that supports referral and consultation intake.

Revenue is generated primarily through insurance reimbursement from in-network relationships with Medicaid, United Healthcare, Cigna, Evernorth, Aetna, Tricare, and Anthem, with single-case agreements for additional payers. Therapeutic consultation services are funded through Virginia waivers (Community Living Waiver, Family & Individual Support Waiver) and DAP Funding. Private-pay clients with payment plans fill remaining gaps. Sessions typically range from 12 to 40 hours per week per client depending on assessment results. Go-to-market is sales-led and inside-sales-driven, combining phone/text outreach, online referral forms, third-party marketing vendor (Reputation Elevation), community events, support groups, and SEO-targeted landing pages for each city and county served.

Name

Positive Reinforcement PLLC

Legal name

Positive Reinforcement PLLC

Website

https://positivereinforcement.net

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

Positive Reinforcement PLLC is a Virginia-based ABA therapy provider delivering evidence-based Applied Behavior Analysis in-home, in schools, in the community, and via telehealth across Virginia, West Virginia, and Kentucky. The 23-employee company serves children and adults with autism, Down syndrome, and other developmental differences, reimbursed primarily through Medicaid and major commercial insurers.

Ownership category

akta.pro rank

Product category

Applied Behavior Analysis Therapy

NAICS

Services for the Elderly and Persons with Disabilities (624120), Other Individual and Family Services (624190)

SIC

Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

ABA Therapy Providers (Home-Based) (EDAKAHAB)

akta.pro secondary industries

ABA Therapy Providers (School-Based) (EDAKAHAC), ABA Assessment & Diagnostic Support (Functional Assessments, VB-MAPP/ABLLS-R) (EDAKAHAE), Parent/Caregiver Training & Family Consultation (ABA) (EDAKAHAG), ABA Supervision, Clinical Oversight & BCBA Consulting (EDAKAHAH)

Keywords

• Applied behavior analysis
• Autism therapy services
• In-home ABA therapy
• Developmental disability support
• Behavioral health services

Headquarters

HQ city

Bluemont

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Insurance-Reimbursed ABA Therapy Services: Positive Reinforcement generates revenue primarily through billing insurance companies for ABA therapy services. They are in-network with Medicaid, United Healthcare, Cigna, Evernorth, Aetna, Tricare, and Anthem. They verify benefits before starting services and disclose costs upfront. Medicaid and commercial insurance plans are billed differently — Medicaid/Tricare reimburse at rates allowing BCBA direct therapy, while commercial insurance plans allow RBT-delivered direct therapy.
2. Therapeutic Consultation Services: Consultation services are provided to families and caregivers, billed through insurance or funding sources including Community Living Waiver, Family & Individual Support Waiver, and DAP Funding.
3. Private Pay: The company accepts private pay clients, offering payment plans for families without insurance coverage.

Pricing tiers

Go-to-market motion3 records

Distribution channels5 records

Marketing channels6 records

Core offering

Positive Reinforcement PLLC delivers evidence-based Applied Behavior Analysis (ABA) therapy and related behavioral health services to children and adults with autism spectrum disorder, Down syndrome, and other special abilities. Services include skills assessments, functional behavior assessments, individualized treatment planning, supervision of treatment, communication skills training, social skills training, toileting and self-care skills training, problem behavior reduction, and therapeutic consultation. Therapy is delivered in clients' homes, schools, community settings, and via telehealth across Virginia, West Virginia, and Kentucky.

Product overview

Positive Reinforcement PLLC is a healthcare services provider offering Applied Behavior Analysis (ABA) therapy as its core service for individuals with autism spectrum disorder, Down syndrome, and other developmental differences. The company provides a comprehensive suite of ABA therapy offerings including Skills Assessments, Functional Behavior Assessments, Treatment Planning, Supervision of Treatment, Communication Skills Training, Reducing Problem Behaviors, Social Skills Training, Toileting and Self-Care Skills, and Therapeutic Consultation. Services are delivered through multiple modalities: In-Home ABA Therapy, School-Based ABA Services, Community-Based ABA Services, and Telehealth ABA Services. The company also offers specialized programs for Homeschool Families. The product portfolio operates as a unified therapy service rather than a platform-plus-modules architecture, with all services provided by Board Certified Behavior Analysts (BCBAs) and Registered Behavior Technicians (RBTs). The primary service delivery takes place in Virginia, West Virginia, and Kentucky.

Differentiator

Problem solved

Functional benefit

Products and services

• Applied Behavior Analysis (ABA) Therapy Evidence-based ABA therapy for children and adults with autism spectrum disorder, Down syndrome, and other developmental differences, delivered by Board Certified Behavior Analysts (BCBAs) and Registered Behavior Technicians (RBTs).
• Skills Assessments Comprehensive assessments that identify a child's strengths and generate a list of essential skills to guide individualized ABA treatment planning.
• Functional Behavior Assessments Problem-solving assessment process conducted by BCBAs to systematically address behaviors of concern.
• Treatment Planning Individualized treatment plans developed by BCBAs in collaboration with parents and caregivers, with goals selected for the right course of treatment.
• Supervision of Treatment Clinical supervision of therapists to keep ABA therapy on track and ensure positive patient outcomes.
• Communication Skills Training ABA-based therapy focused on developing verbal and nonverbal communication skills to reduce frustration and encourage independence.
• Reducing Problem Behaviors

Quantifiable outcome

• Research shows intensive ABA at a young age produces the most favorable outcomes; recommended up to 40 hours/week maximum, minimum 12 hours/week to start
• +1 more outcomes

Named customers2 records

Segments6 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

One partnership is on record.

• Reputation ElevationminorGTM or Marketing PartnerReputation Elevation is a third-party marketing vendor that collects contact information from potential clients through Facebook and the company's website. Collected information (including name, contact details, insurance, and diagnostic information) is forwarded to Positive Reinforcement for the purpose of providing a free consultation. This arrangement constitutes a lead-generation marketing partnership.

Scale indicators4 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• Acorn Health: Acorn Health is a PE-backed (MBF Healthcare Partners) multi-state ABA and behavior-analytic services provider offering center-based and home-based therapy. Comparable in clinical services, age range, and insurance participation, and active in Mid-Atlantic expansion that may overlap Positive Reinforcement's footprint.
• Autism Learning Partners: Autism Learning Partners is a multi-state ABA provider offering in-home, center-based, and telehealth ABA therapy with broad insurance acceptance. Comparable clinical model and target segments to Positive Reinforcement, with greater scale across the Mid-Atlantic and West Coast.
• Hopebridge Autism Therapy Centers: Hopebridge is a PE-backed (KKR-backed) multi-state ABA and autism services provider offering in-home, center-based, and telehealth ABA therapy. Highly comparable to Positive Reinforcement in service model and target population, but materially larger scale, which makes it both a competitor and a potential acquirer.
• Centria Healthcare: Centria Healthcare is a multi-state ABA and behavioral health services provider with in-home, center-based, and school-based offerings. Comparable services, insurance breadth, and target population; competes for the same families and clinical staff in overlapping states.
• Kadiant: Kadiant is a PE-backed (BPEA) ABA therapy provider serving multiple states with center-based, in-home, school, and telehealth services. Directly comparable in services, payer mix, and patient population; competes for the same clinical talent and family referrals in overlapping Mid-Atlantic/Southeast markets.
• Trumpet Behavioral Health: Trumpet Behavioral Health is an ABA therapy provider offering in-home, center-based, and school-based services with broad insurance acceptance. Directly comparable clinical model, target population, and multi-state footprint to Positive Reinforcement.
• Lighthouse Autism Center: Lighthouse Autism Center is a multi-state ABA therapy provider focused on center-based and in-home services for children with autism. Comparable in clinical methodology and target population, with growing Mid-Atlantic presence that creates competitive overlap.
• BlueSprig Pediatrics: BlueSprig is a large PE-backed ABA therapy provider operating in 14+ states with clinic-based, in-home, and telehealth services. Comparable in clinical methodology (ABA), insurance breadth, and target population to Positive Reinforcement, but with substantially greater geographic reach and capital resources.
• Behavioral Innovations: Behavioral Innovations is a multi-state ABA provider with center-based, in-home, and school-based services for children with autism. Comparable in service modalities, target population, and payer mix; competes for the same BCBA/RBT talent pool.

Emerging players

• Soar Autism Center: Soar Autism Center is a growing ABA and integrated autism services provider focused on center-based care. Less direct overlap than the multi-modality peers above, but competes for the same patient population and family referrals in adjacent markets.

Market position

Strengths4 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/positive-reinforcement-pllc

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Positive Reinforcement PLLC