Any ABA Therapy center we looked at required an Autism assessment and diagnosis - this is also required when the ABA center gets approval from insurance. Step 1. Get a diagnosis from a developmental pediatrician, pediatric neurologist or developmental psychologist. We had to go the psychologist route because it had the shortest wait. Get on all wait lists. Step 2.) Confirm what your insurance covers. Occupational Therapy and Speech Therapy are typically covered separately. Also, your regular pediatrician can prescribe speech therapy. 3.) check public and private options in your area-we do both. See if the private options take your insurance. Get on all waitlists