Thu
Next Session
April 10 · 3:30 PM
78%
Goal Progress
7 of 9 goals on track
14
Sessions This Month
3 remaining in April
$120
Balance Due
Co-pay — due Apr 15
1
Session Notes & Progress
Recent summaries from Liam's therapy sessions
Tue, Apr 8
Dr. Sarah Klein · In-Home ABA · 60 min
😊
Liam had an excellent session today. He successfully completed 8 of 10 discrete trial training (DTT) rounds for his "requesting preferred items" goal — his highest accuracy rate to date. He also initiated two unprompted greetings with the RBT when she arrived, which is a strong indicator of social communication progress. We introduced the new "wait" card during snack time and he responded well after the second prompt. Overall energy was positive and cooperative throughout.
Thu, Apr 3
Jordan M. (RBT) · In-Home ABA · 90 min
🙂
Session focused on fine motor and daily living skills. Liam completed shoe-tying steps 1–3 independently (steps 4–6 still require hand-over-hand support). He engaged in 15 minutes of parallel play alongside a peer during the structured activity block — longer than previous sessions. Some difficulty transitioning away from the iPad at the 45-minute mark; we used the first-then board and he transitioned within 2 prompts.
Tue, Apr 1
Dr. Sarah Klein · In-Home ABA · 60 min
😐
Liam was slightly fatigued today (per parent report, he had a short night). We shortened the DTT block and spent more time on preferred activities to build rapport before targeting goals. He completed his visual schedule independently twice with no prompts — a milestone. Communication attempts were fewer than usual but consistent with fatigue. We recommend keeping the evening routine consistent on session nights to support optimal session performance.
2
Schedule & Appointments
Upcoming sessions — April 2026
Upcoming Sessions
| Date & Time | Type | Therapist | Location | Status |
|---|---|---|---|---|
| Thu, Apr 10 3:30 PM – 4:30 PM |
In-Home ABA | Dr. Sarah Klein |
Home | ✓ Confirmed |
| Sat, Apr 12 10:00 AM – 11:30 AM |
Mike D. (BCBA) |
Cornerstone Center | ✓ Confirmed | |
| Tue, Apr 15 3:30 PM – 4:30 PM |
In-Home ABA | Jordan M. (RBT) |
Home | ✓ Confirmed |
| Thu, Apr 17 3:30 PM – 4:30 PM |
In-Home ABA | Dr. Sarah Klein |
Home | ✓ Confirmed |
| Tue, Apr 22 3:30 PM – 4:30 PM |
Quarterly Review | Dr. Sarah Klein |
Zoom | ⏳ Pending Confirm |
| Thu, Apr 24 3:30 PM – 4:30 PM |
In-Home ABA | Jordan M. (RBT) |
Home | ✓ Confirmed |
📞
Need to reschedule or cancel?
Please give us at least 24 hours' notice. Contact the office at 516-993-7844 or message Dr. Klein directly below.
3
Goals & Milestones
Liam's active treatment goals — Q2 2026
1
Spontaneous Requesting (Manding)
88%
Liam will independently request preferred items or activities using 3+ word phrases (e.g., "I want juice please") without prompting, across 5 consecutive sessions. Target: 80% independent trials per session.
2
Peer Play — Parallel to Interactive
64%
Liam will transition from parallel play to interactive play with a same-age peer for a minimum of 10 minutes during structured group activities, initiating at least 2 social bids per session, across 4 of 5 consecutive sessions.
3
Transition Tolerance (Away from Preferred Activity)
52%
When given a 2-minute warning, Liam will independently stop a preferred activity (iPad, LEGO, trampoline) and transition to the next scheduled activity with no more than 1 verbal prompt and zero problem behaviors, across 8 of 10 consecutive trials.
4
Daily Living — Shoe-Tying (Full Sequence)
45%
Using a task-analysis of 8 steps, Liam will complete the full shoe-tying sequence independently (no physical prompting) with 90% accuracy across 3 consecutive sessions. Currently mastered: steps 1–3 independently.
🏅 Milestones Achieved
✓ Uses "I want" phrase independently
✓ Tolerates 10-min structured activity
✓ Greets familiar adults without prompting
✓ Follows 2-step directions 80% of the time
✓ Visual schedule — 2 steps independent
✓ Shoe-tying steps 1–3 independent
⏳ Interactive peer play (10+ min)
⏳ Full shoe-tying sequence
⏳ Zero-prompt transitions (8/10 trials)
4
Billing & Invoices
Insurance coverage, co-pays, and payment history
Insurance on File
| Provider | Aetna Blue Cross |
| Member ID | AET-**7743 |
| Group # | GRP-88412 |
| ABA Coverage | ✓ Covered |
| Co-Pay | $30 / session |
| Auth Status | ✓ Auth on File thru Jun 2026 |
Account Summary
Sessions this month
14 sessions
Billed to insurance (Apr)
$3,220.00
Insurance paid (Apr)
$2,860.00
Co-Pay Balance Due
$120.00
Invoice History
| Invoice | Date | Description | Billed to Insurance | Your Portion | Status |
|---|---|---|---|---|---|
| #INV-0412 | Apr 8, 2026 | In-Home ABA · 60 min | $230.00 | $30.00 | Due Apr 15 |
| #INV-0411 | Apr 5, 2026 | Social Skills Group · 90 min | $280.00 | $30.00 | Due Apr 15 |
| #INV-0410 | Apr 3, 2026 | In-Home ABA · 90 min | $345.00 | $60.00 | Due Apr 15 |
| #INV-0407 | Mar 28, 2026 | In-Home ABA · 60 min | $230.00 | $30.00 | ✓ Paid |
| #INV-0405 | Mar 25, 2026 | In-Home ABA · 60 min | $230.00 | $30.00 | ✓ Paid |
| #INV-0401 | Mar 20, 2026 | Quarterly Assessment · 2 hr | $520.00 | $0.00 | ✓ Paid (Insurance) |
5
Resources & Parent Guides
Tools, tips, and materials to support Liam at home
Parent Involvement Guide
How to reinforce therapy skills at home between sessions. Covers prompting, reinforcement strategies, and data collection basics.
PDF Guide
Visual Schedule Templates
Printable morning, after-school, and bedtime visual schedules you can customize for Liam's daily routine.
Printable
DTT at Home — Video Walkthrough
A short video showing how to run simple discrete trial training rounds with everyday items during play.
Video
Reinforcer Preference Checklist
Help us keep Liam's reinforcer toolkit fresh. Fill this out monthly to let us know what's motivating right now.
Fillable Form
Transition Tips: iPad & Screens
Practical strategies for managing screen-time transitions at home. Includes the first-then board technique we use in sessions.
Parent Tip Sheet
Autism Speaks Family Resources
A curated set of links for local Long Island support groups, social skills programs, and family services.
External Links
6
Meet Your Care Team
The people working with Liam every week
SK
Dr. Sarah Klein
Lead BCBA · In-Home ABA
BCBA-D Certified
12 years experience · Specializes in early intervention, communication, and family training. Dr. Klein leads all treatment planning for Liam.
JM
Jordan M.
Registered Behavior Technician (RBT)
RBT Certified
4 years experience · Conducts in-home sessions and daily skills training. Liam has worked with Jordan since February 2025.
MD
Mike D.
BCBA · Social Skills Group Lead
BCBA Certified
8 years experience · Runs the Saturday social skills groups. Specializes in peer play and group interaction for school-age children.
7
Messages
Direct communication with your care team
Conversation with Dr. Sarah Klein
Dr. Sarah Klein
Hi! Just a heads-up — I'll be bringing a new visual activity board to Thursday's session to work on the transition goal. You don't need to prepare anything. Just wanted to give you a preview so Liam hears about it from you first if you'd like.
Apr 7 · 9:14 AM
You
That's great, thank you for the heads up! He's been doing better with transitions this week actually — we tried the first-then board you showed us and it helped a lot at bedtime.
Apr 7 · 11:32 AM
Dr. Sarah Klein
That's amazing to hear — that's exactly the kind of generalization we're working toward! If you can jot down which activities he transitioned from/to and how many prompts it took, I can add it to his data. Even rough notes are helpful. 🙌
Apr 7 · 12:05 PM
Responses typically within 1 business day. For urgent matters call 516-993-7844.