The universal steps
No matter the state, opening an ABA clinic follows the same backbone. Your state page covers the local specifics on top of these.
Form your entity
Register the business, get an EIN and W-9, and set up your structure.
Get your NPIs
Type 1 for each BCBA, Type 2 for the organization — free via NPPES.
Liability insurance
Professional and general coverage for the practice and providers.
Build CAQH profiles
Complete and attest each provider's profile — payers pull from it.
Enroll in Medicaid
Enroll with your state Medicaid program and any managed-care plans.
Credential commercial payers
Apply, get contracted, confirm your effective date before billing.
For the national detail on each, see our guide to starting an ABA clinic, the credentialing guide, and the billing guide.