Se habla español · Serving families in Miami-Dade, Broward & Palm Beach
Behavioral therapy since 2011

ABA and behavioral therapy in the Miami area, built around your child.

We help children with autism, developmental delays and behavioral challenges build the skills that make everyday life easier, and we support the whole family along the way. At home, at school and in the community.

Talk to our intake team at 305-279-2286 · Mon–Fri, 9am–5pm

15 yearshelping Miami families, one skill at a time
Plans designed by BCBAs
Programs designed by Board Certified Behavior Analysts
In-network with major private insurance plans
Therapy at home, school or in the community
Our leaders speak Spanish with your family
Our services

Three ways we support your child and your family

ABA therapy, parent education and social skills groups, all evidence-based and built on the same plan, so therapy, home and school pull in the same direction.

Applied Behavior Analysis

ABA Therapy

One-on-one therapy with a plan written for your child. Comprehensive ABA Treatment runs 25–40+ hours a week; Focused ABA Treatment works on one or two goals in under 25.

  • Communication and language
  • Behavior reduction and self-management
  • Daily living and safety skills
Learn about ABA therapy
A therapist kneels beside a young girl who points at a picture card of an apple
Parent Education

Parent Education

You learn the same strategies our therapists use, with coaching at home, in real moments.

  • Guided by the RUBI Autism Network Manual
  • In-Vivo Sessions: live, in-home coaching
  • Weekly or bi-weekly sessions
Learn about parent education
A mother reads a picture book with her toddler while a therapist kneels beside them with a quiet tip
Our full-circle model

Your child gets a whole Breakthrough Team.

Everyone on the team follows the same plan, so your child hears the same words and routines everywhere.

BCBA / BCaBATwo Breakthrough Leaders

Board Certified Behavior Analysts who assess your child, write the plan and supervise in person.

RBTA dedicated Breakthrough Partner

A Registered Behavior Technician who works one-on-one with your child, session after session.

Every monthYour Breakthrough Journal

Session videos, goals and a monthly progress update you can open any time.

Getting started

What happens after you call

  1. 1

    A short intake call

    Tell us about your child and share your insurance card.

  2. 2

    We verify your benefits

    We check your coverage with your plan and explain any costs before anything starts.

  3. 3

    Assessment with a Breakthrough Leader

    A Board Certified Behavior Analyst meets your child and writes a plan with goals you agree on.

  4. 4

    Therapy begins

    At home, school or in the community, with a progress review every month.

Where therapy happens

Skills learned where your child lives them.

Naturalistic learning: we practice in the real places your child spends the day, so new skills carry over.

A father gives a thumbs up as his son puts on his own sneaker on the stairs
AT HOME

In your living room

Routines, communication and play, with an approved caregiver close by.

A therapist kneels beside a boy at his classroom desk
AT SCHOOL

Alongside the teacher

In schools that welcome us, we coordinate with staff so goals match across settings.

A therapist and a girl walk hand in hand toward the swings in a sunny Miami park
IN THE COMMUNITY

On walks and at nearby parks

With your consent, we practice real-world skills close to home.

In the early evening, a therapist and a boy finish a floor puzzle while his father cooks in the kitchen
NIGHTS & WEEKENDS

On your family's schedule

Ask our intake team about evening and weekend sessions.

Insurance

Most families use their employer's health plan.

If your employer has over 50 employees, Florida's Autism Mandate requires your plan to cover ABA services. We're in-network with many major private insurers, and we'll check your benefits before therapy starts.

We don't accept Medicaid or CMS plans. Private payment plans are available.

To check your coverage, call or text our office at 305-279-2286.

AetnaAnthemAvMedBeaconBlueCross BlueShieldCariskCignaConcordiaEmpire BCBSFlorida Blue
Golden RuleMagellan HealthNeighborhood HealthNew DirectionsOptumPsy CareUnited Behavioral HealthUnitedHealthcareValue Options
19 private plans · coverage is always verified for your planMake an online payment
2011serving Miami-area families since
3counties: Miami-Dade, Broward & Palm Beach
1:1therapy with a dedicated Breakthrough Partner
12progress updates a year in your Breakthrough Journal
The Breakthrough Team

The people your child will know

Meet the whole team
Brett, Founder and CEO of Fresh Starts
BrettFounder & CEO
Taylor, Founder and CFO of Fresh Starts
TaylorFounder & CFO
Jennifer, Clinical Director of Fresh Starts
JenniferClinical Director
Questions parents ask

Before you call

Short answers to what families ask us most.

See all 24 questions
What age group do you provide therapy for?

We work with children from first diagnosis, a little over a year old, through adolescence.

How many hours a week is a typical program?

It depends on your child's plan. Comprehensive ABA Treatment is usually 25–40+ hours a week of one-on-one therapy. Focused ABA Treatment is under 25 hours and works on one or two goals.

Do I have to be present for therapy?

An approved adult caregiver needs to be in the home during in-home sessions. You're welcome to join in, and parent training is part of most programs.

My family speaks Spanish at home. Can therapy be in Spanish?

Therapy sessions are delivered in English, and our Breakthrough Leaders can talk with you in Spanish about your child's plan and progress.

Can therapy happen at night or on weekends?

Often, yes. Tell our intake team what works for your family and we'll look at the schedule together.

No commitment

Not sure where to start? That's what the first call is for.

We'll answer your questions and check your insurance for you.

A smiling mother talks on the phone in her kitchen while her toddler plays nearby