Now CLTS Approved Provider! Accepting Medicaid Clients!
Leaf & Lake provides individualized behavior support in home, school, daycare, residential, and community settings. Services may include direct treatment for children and adults, caregiver training, consultation, assessment, and collaborative support for the people and environments surrounding each client.
Services are based on individual need rather than a specific diagnosis. The goal is to identify what matters, understand what is getting in the way, and build practical supports that work in real life.
At Leaf & Lake Behavior Consulting, focused 1:1 ABA is individualized, naturalistic, and built around the client's everyday life. Treatment takes place in the environments where skills actually matter—at home, school, daycare, or in the community—and uses the client's interests, preferences, and existing strengths to guide intervention. No flashcard drills at a table here.
Clients work directly with Abby, a Board Certified Behavior Analyst (BCBA). Treatment may focus on communication, emotional and behavioral regulation, daily living skills, social interaction, flexibility, independence, or behavior that meaningfully affects health, safety, access, or quality of life. Goals are selected based on the individual—not simply because a behavior looks different or someone finds it inconvenient.
Focused treatment may include:
Comprehensive assessment and an individualized treatment plan
Direct, goal-driven intervention in natural environments
Play- and interest-based teaching when appropriate
Individualized communication supports, including speech, AAC, and other communication systems
Collaboration and training with parents, caregivers, teachers, and other support providers
Ongoing data collection and progress monitoring
Regular review of goals and treatment based on meaningful outcomes
Assent-based, trauma-informed care that prioritizes dignity, autonomy, and client voice
The goal isn't to make someone look or behave more “normal.” It's to build skills, reduce meaningful barriers, and support change that actually matters in the person's life.
At Leaf & Lake Behavior Consulting, caregivers aren't an afterthought—they're part of the treatment team. Caregiver collaboration focuses on understanding what is happening in everyday life and developing practical strategies that fit the people, routines, and environments involved.
Rather than handing families a behavior plan and expecting them to become behavior analysts, Abby works alongside caregivers through coaching, modeling, problem-solving, and practice. Support may focus on communication, routines, regulation, challenging behavior, independence, or simply figuring out why something that should be working isn't working.
What to Expect:
Collaborative goal setting based on what matters to the client and family
Hands-on coaching, modeling, and practice
Practical strategies designed for real-life routines and environments
Support understanding behavior and the variables influencing it
A trauma-informed, assent-based approach that prioritizes dignity and autonomy
Ongoing problem-solving and adjustments as needs change
Caregiver collaboration is available as part of focused ABA treatment or as a stand-alone service for families and support teams who need guidance without ongoing 1:1 treatment.
Leaf & Lake Behavior Consulting partners with schools, daycares, residential programs, community organizations, and other support teams to address behavioral challenges where they actually occur.
Consultation begins with understanding the person, the environment, and the variables affecting behavior. Abby works collaboratively with teams to identify practical changes to supports, expectations, environments, staff responses, and skill-building opportunities—not simply ways to change the individual.
Support is tailored to the needs of each setting and may range from a focused consultation or staff training to ongoing assessment, implementation support, and systems development.
Consultation services may include:
Functional behavior assessment (FBA) and other behavioral assessment
Individualized behavior support and intervention planning
Staff and caregiver training, coaching, and modeling
Environmental and classroom modifications
Proactive strategies for complex or challenging behavior
Development and improvement of data collection systems
Consultation related to behavioral goals and supports within IEPs
Implementation support, progress review, and ongoing problem-solving
Training tailored to the needs of schools, agencies, and care teams
The goal isn't to hand a team another plan to put in a binder. Consultation should leave the people supporting an individual with a better understanding of why behavior is occurring, what they can change, and what to do next.
Consultation rates vary based on the scope, setting, travel, and level of ongoing support needed. Contact Abby to discuss your organization's needs and determine the appropriate level of service.
Certification doesn't mean you suddenly have every clinical answer.
Leaf & Lake offers individualized mentoring and clinical consultation for BCBAs who want additional support with complex cases, clinical decision-making, or professional growth. Whether you're newly certified, working without strong clinical support, or simply need another experienced behavior analyst to think through a difficult case, consultation provides a space to slow down, examine the variables, and figure out what to do next.
With nearly a decade of experience as a BCBA, Abby brings particular experience in complex behavior, treatment troubleshooting, data analysis, and developing practical interventions that prioritize meaningful outcomes, autonomy, and quality of life.
Case conceptualization and treatment planning
Functional behavior assessment and hypothesis development
Data analysis and data-based decision-making
Troubleshooting stalled progress or complex cases
Ethical and clinical decision-making
Neurodiversity-affirming and assent-based practice
Translating behavioral principles into practical intervention
Building confidence and independence in clinical reasoning
The goal isn't to give clinicians another protocol to follow. It's to help BCBAs think critically about what they're seeing, why it's happening, and what—if anything—should change.
Mentoring and consultation may be a good fit for newly certified BCBAs, clinicians working with limited mentorship or peer support, experienced BCBAs navigating a challenging case, or behavior analysts looking for an outside perspective on treatment and ethical decision-making.
Contact Leaf & Lake Behavior Consulting to discuss mentoring, case consultation, or ongoing clinical coaching options.
Accepting Currently
Medicaid/Forward Health (fully credentialed as Comprehensive and Focused Licensed Supervisor)
Carelon
Cigna/Evernorth
Lakeland Care District: Consumer Education and Training AND Consultative and Therapeutic Services for Caregivers
Children's Long Term Support Provider: Unpaid family/caregiver supports, safety planning and prevention
In Process:
BCBS of Michigan
Health Partners
Medicaid approval for clients over age 21
Leaf & Lake Behavior Consulting is committed to transparent billing and helping families understand their payment options before services begin. Coverage and out-of-pocket costs vary by payer, plan, service, and authorization requirements.
ForwardHealth / Wisconsin Medicaid
Medically necessary ABA services may be covered by ForwardHealth when eligibility and prior authorization requirements are met. Families with ForwardHealth should confirm coverage and authorization before services begin.
Children’s Long-Term Support (CLTS)
Some consultation or support services may be eligible for CLTS funding. Families should contact their support and service coordinator to determine whether a requested service can be covered through their individual plan.
Commercial Insurance
Leaf & Lake works with select commercial insurance plans. Deductibles, copayments, coinsurance, and other cost-sharing requirements vary by plan. Benefits and estimated financial responsibility will be reviewed before treatment whenever possible.
For individuals who also have ForwardHealth coverage, Medicaid may provide secondary coverage for eligible services. Additional information is available on the Resources page.
Private Pay & Sliding Fee Scale
Private-pay services are available for families who are not using insurance or when a service is not covered by their health plan.
A sliding fee scale is available based on household income and family size, with rates currently ranging from $35–$75 per session. Eligibility and rates are discussed individually before services begin.
Families are invoiced monthly for applicable out-of-pocket costs. Payment is due within five business days of the invoice date unless another arrangement has been established in advance.
Questions about coverage, billing, or payment options are welcome. Contact Leaf & Lake directly to discuss your specific situation.
Public Rate Schedule
Leaf & Lake Behavior Consulting's current private-pay/usual-and-customary rates are available below. CLTS services are billed in accordance with applicable Wisconsin CLTS authorization and rate requirements.
Caregiver training/consultation: $26.03 per 15-minute unit ($104.12/hour)