Welcome to BHCOE

We develop and measure voluntary consensus standards for autism and applied behavior analysis service organizations.

Expand Your Knowledge and Your Practice

Our Virtual Academy features an ongoing webinar series with top experts that help your practice thrive in any condition.

Watch Trainings and Earn CEU Credits

COVID-19 FAQs for ABA Providers

Answers to frequently asked questions (FAQs) about the latest developments on the virus and guidance from federal agencies.

Resources for Members

We’re working around the clock to help our members navigate through these challenging times.

Get the latest resources—including links and downloadable files—on telehealth, legislation, employment law, policies, and more.

Partner Offers

BHCOE Partners offer savings on services to BHCOE Community Members for goods and services that assist in promoting a quality ABA organization.

Get Accredited

BHCOE Accredited organizations promote and implement evidence-based practices within their agency, focus on staff satisfaction, consumer satisfaction, and clinical best practices.

Demonstrate Your Commitment to Best Practices and Get Our Member Benefits


Behavioral Health Center of Excellence® (BHCOE®) is an international accrediting body created to meet accreditation needs specific to the delivery of behavior analysis. The BHCOE’s accreditation requirements and standards undergo regular review according to American National Standards Institute (ANSI) requirements for standard development. The hallmark of this process ensures that standards are developed in a manner that is equitable, accessible, and responsive.

BHCOE Accreditation® is a certification given to an applied behavior analysis organization once it has demonstrated it has met and continues to meet an assortment of standards as determined by an independent third-party evaluator.

The concept of accrediting Applied Behavior Analysis organizations began in 2009 when a large ABA organization became insolvent and left hundreds of families without services. As a response to this insolvency, a transparency committee was formed by the Department of Developmental Services (DDS) and began identifying quality measures for ABA organizations through the California Regional Centers.

A five-year pilot project occurred between 2009-2014 to provide the state with additional information about quality assurance metrics for behavioral organizations. Subsequently, a group of behavior analysts originally involved in the DDS Pilot Project came together in August 2015 to formalize the BHCOE as an international accrediting body and began globally discussing and shaping organizational standards and the BHCOE Accreditation Program.

Year Established

Patients Represented

BCBAs Represented

Organizations Accredited


Compliance with Funder Requirements

Laws may require certain health care organizations to acquire accreditation for their organization. Those organizations already accredited by BHCOE may be compliant and need not undergo any additional surveys or inspections. Please inquire for information on your commercial insurance organization and whether BHCOE Accreditation is accepted for behavior services.

Benchmark Progress

What’s your impact? Businesses across the US use the BHCOE Accreditation to benchmark their performance and set goals for continuous improvement. The clinical audit is a great tool to help your organization become a more sustainable company. Think of it as a regular check-up to see how clinically and administratively healthy you are and how you’ve improved.

Attract Talent

BHCOE accredited organizations meet the highest standards of verified clinical quality, transparency, and accountability. Collectively, BHCOE’s lead a growing movement of behavioral health providers that aim to increase the collective quality of services across the United States. In a challenging recruiting market, holding the BHCOE Accreditation lets potential employees know that you value quality, their well-being, and the best interest of the patients you serve.

Differentiate from the Ordinary

A recent study conducted by Northwestern University, School of Business, surveyed parents of children with autism and/or related disorders about their satisfaction with their ABA services.

“Our research found that parents of children with autism and related disorders utilize on average six service providers for their child [before finding one that is effective].” The BHCOE distinction helps you stand out as an organization that cares about quality, patient satisfaction, and staff satisfaction.

Negotiate Higher Reimbursement Rates

The BHCOE Accreditation is great for business owners who want to command higher valuations, achieve greater impact, and build a company that lasts. The BHCOE Accreditation represents a company that scales with integrity and sustainability, and that offers patient satisfaction and effective treatment at the forefront of treatment. Accredited organizations stand out to funding sources or potential investors as more ethical and sustainable.

Generate Press

Every BHCOE has a compelling story. We help tell it. Our organizations span across the United States, serve thousands of patients, and employ thousands of staff. Our BHCOE’s were highlighted in local news sources across the United States. By increasing your visibility as a quality behavioral health organization, you can stand out amongst its peers and competitors. We help highlight your quality services to your local funding sources and partners in your region.

Lead the Field and Grow Your Business

Why Organizations Like Yours Choose BHCOE Accreditation

Why Providers Choose BHCOE Accreditation

BHCOE’s clincal leadership has been extremely helpful in providing insights…

The feedback that the BHCOE team delivered was extremely beneficial to us in improving the quality of our program, and we have experienced superior outcomes among our clients since implementing their suggestions. Becoming a BHCOE is not just about getting a new logo for your website; it’s about ensuring high quality services, receiving objective feedback from outside of your agency, and setting goals for yourself and your staff. Being part of the BHCOE community has been a wonderful experience as well. The BHCOE’s clincal leadership has been extremely helpful in providing insight into current trends in the practical application of ABA and how the field is evolving, including how to work effectively with health insurance while remaining ethical. The BHCOE also has a fantastic mentorship program, and has connected us with the owners of other BHCOE agencies. This program has broadened our network of relationships within the Autism and ABA communities, and has helped us to improve and grow our business through the sharing of ideas.

Abigail Bunt, MEd, BCBA, LBA
San Diego, CA

We have been able to raise our hourly rates for RBT services by 40%

Following BHCOE accreditation, we were able to engage in productive conversations with our payors on our clinical and business performance. As a result, we have been able to raise our hourly rates for RBT services by 40%. This has a significant positive impact on our ability to provide effective, quality services to our patients.

Maegen Pierce, MA BCBA
California, Florida, Virginia

It is my pleasure to recommend BHCOE.

As a behavior analytic company run by behavior analysts, having an objective evaluation of our programming provided us with useful data to make practical changes to our processes and procedures. The audit process was useful and easy for our staff but invaluable as a tool to help pinpoint areas for our staff that otherwise would have been tabled.

Kathleen Bailey Stengel, MA, BCBA, LBA
Trevose, PA

We found our experience with the BHCOE invaluable.

We were able to obtain useful information about our service delivery from both caregivers and staff, and the results helped us recognize our strengths as well as areas upon which we can strive to improve. The audit process was thorough and we were pleased to see data on overall program satisfaction and caregiver involvement, as well as input from staff regarding feelings of competence and support.

Dr. McNerney, PhD, BCBA-D
Irvine, CA

It is exciting to see how BHCOE is setting a groundwork for industry standards.

We knew a critical piece of this would be parent and staff feedback but weren’t sure how to get this or how to analyze it if we did. The audit from BHCOE provided an opportunity for us to gain this information and allow us to compare ourselves against other providers throughout the country. The audit process itself was easy and straightforward for ourselves as well as our staff and parents.

Dr. Niki Thurkow, PhD, BCBA-D
Naperville, IL

Working with the BHCOE was incredible.

Working with the BHCOE was incredible. While we were initially anxious, the process was smooth and easy […] It helped us identify and pinpoint specific metrics that we needed to put in place, to help us grow and sustain a healthy practice. Anyone can start up and get clients, but scaling a quality organization is much more rigorous and demanding. BHCOE helps with this. The insight that they provide will help you grow your business. The network they’ve developed will help you grow your business. The accreditation that could result will help you grow your business. I have one regret: I should have started the process back in 2015 when I initially talked with Sara and the BHCOE. It is an honor to be BHCOE Accredited, and I have nothing but great experiences in working with their staff.

Rob El Fattal, M.S., BCBA
El Paso, Texas

The process was straight-forward and easy to navigate.

We are committed to the field of behavior analysis and are thrilled that the BHCOE has developed this much-needed program to evaluate the clinical aspects of companies that provide ABA. It is the reputation of the field as a whole that benefits. Regarding the audit specific to our company, the process was straight-forward and easy to navigate. It was thorough and we feel effectively identified many of the qualities that are critical for a company providing ABA services. It was an extremely useful process for us to organize our practices and procedures in a way that could be presented to someone else. Also, the staff and parent feedback surveys were extremely informative and gave us jumping off points for continuing to improve the way we do things. Our auditor was stellar and it was clear she knew exactly what she was looking for and how to ask the right questions. Everyone at the BHCOE was excellent to work with. We felt supported rather than audited and we are so glad we made the decision to pursue the accreditation!

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