Henderson County is growing fast, but access to autism services hasn’t kept pace. Most families here still face long wait times for evaluations, limited local providers, and clinic-based options that don’t work for everyone. B Above Services is changing that: we bring evidence-based ABA therapy and autism diagnostic evaluations directly into your child’s world, at home, at school, and in the community, wherever they learn and grow best.
Hendersonville isn’t Asheville. It’s quieter, more spread out, and for many families, a 30-minute drive to a therapy clinic multiple times a week just isn’t realistic, especially when you factor in the winding mountain roads and the communities that stretch from Fletcher to Flat Rock to Etowah.
Our Natural Environment approach meets your family where you actually are. Instead of pulling your child out of their routine for clinic visits, we bring therapy into the real settings where skills need to work: at home during morning routines, at school during transitions, or out in the community during everyday errands. The skills stick because they’re practiced in real life, not a therapy room your child visits twice a week and forgets about by dinner.
And because we coach parents and caregivers during real routines, the strategies continue working long after a session ends. You don’t just watch therapy happen; you become part of it.
We support the whole family through every stage of the journey:
Comprehensive evaluations for children and teens, guiding families from assessment to clear next steps without unnecessary delays.
Personalized ABA therapy delivered where your child lives and learns; at home, school, and in the community.
Supportive group sessions that build confidence and connection for children, with guidance and community for parents.
A free partnership with schools & families, offering developmental screenings, training, and trusted support when concerns arise.
If you’re noticing signs, or if your child’s pediatrician has flagged concerns, getting a formal evaluation in Western North Carolina can be a frustrating process. Waitlists through hospital systems are long, and many families don’t realize that their options aren’t limited to one path.
Henderson County Public Schools can evaluate your child and provide classroom accommodations through their Exceptional Children’s program, but a school evaluation is not a medical diagnosis and won’t unlock insurance or Medicaid coverage for ABA therapy. A formal autism diagnosis requires a qualified medical professional. Our evaluations are conducted by a licensed psychologist and give your family the documentation needed to access insurance-covered ABA, often faster than hospital-system waitlists allow.
If you’ve already been through Hendersonville Pediatrics, your child’s primary care provider, or the Children’s Developmental Services Agency (CDSA), we can pick up wherever that process left off.
We bring in-home ABA therapy to families throughout Henderson County: from Downtown Hendersonville and Laurel Park, to Flat Rock, Fletcher, and Barker Heights, and into the more rural communities of Etowah, Horse Shoe, Mills River, Edneyville, and Tuxedo. We also serve families in nearby Brevard (Transylvania County) and the areas along the I-26 corridor between Hendersonville and Asheville. If you’re in Western North Carolina, reach out, we’ll let you know how we can support your family.
North Carolina’s autism insurance mandate (SB 676) requires most state-regulated health plans to cover ABA therapy. For families on Medicaid, ABA is covered for children under 21 through the EPSDT benefit. In Henderson County, Vaya Health is the regional Tailored Plan (LME/MCO) that manages Medicaid behavioral health services, including ABA authorization. Navigating Vaya’s process can be confusing, so we help families understand their benefits and handle prior authorization from day one.
We start with a warm, welcoming conversation to understand your family’s needs, concerns, and hopes.
Our clinicians take the time to get to know your child’s strengths, needs, and full developmental profile.
We build a care plan tailored to your child’s needs and your family’s goals.
We provide continuous support and monitoring as your child grows toward their milestones.
Most ABA providers in the area operate out of clinics. We deliver all therapy in your child’s natural environment: at home, at school, or in the community. This means no commute for your family, and your child builds skills in the settings where they actually need them.
Potentially, yes. Our diagnostic evaluations are conducted by a licensed psychologist and can often be scheduled faster than hospital-system waitlists. Contact us and we’ll walk you through timing and next steps.
Absolutely. We work with families across all of Henderson County, including Flat Rock, Fletcher, Etowah, Horse Shoe, Mills River, and Edneyville. We also serve nearby Brevard. In-home ABA is especially valuable in rural mountain communities where driving to a clinic regularly isn’t practical.
In Western NC, Vaya Health manages Medicaid behavioral health services as the regional Tailored Plan. ABA is covered for children under 21 through the EPSDT benefit. We help families navigate Vaya’s authorization process so you can focus on your child, not paperwork.
School evaluations through the Exceptional Children’s program can provide classroom support, but insurance-covered ABA therapy requires a formal medical diagnosis from a qualified professional. We can help you understand where you are in that process and what’s still needed.
We provide ABA therapy and diagnostic evaluations for children and teens. Early intervention is ideal, but we support families at any stage of the journey.
We’re here to help—click “Get Started” and a member of our team will follow up to learn how we can best support you.
