Overall Risk Level
warning Medium Risk
Risk Flags
flagPrivate equity ownership with active churn (Audax 2019-2025, Nautic Partners 2025-present)
flagAggressive multi-state roll-up (7 to 70+ clinics in 6 years; 7 acquisitions under Audax)
flagReported pressure on billable hours and indirect time pay
flagDeclining BCBA recommendation rate
Ethical Concerns
policyConcerns common to PE-backed ABA roll-ups: caseload pressure and cost discipline tied to private equity returns
BBB RatingNot Rated
Employee Sentiment
5.8
out of 10
thumb_up Common Praises
- add_circle Supportive BCBAs and engaged supervision
- add_circle Solid hands-on training, especially for new RBTs
- add_circle Competitive hourly pay relative to local market
- add_circle Flexible scheduling and clinic-based options
- add_circle Mission-driven culture focused on client outcomes
thumb_down Common Complaints
- remove_circle Difficulty securing adequate billable hours due to technician oversupply
- remove_circle No paid indirect time / no compensation for client cancellations
- remove_circle Long waiting period before benefits eligibility
- remove_circle Limited career advancement and pay ceiling for RBTs
- remove_circle Work-life balance concerns and burnout, especially among BCBAs