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Marathon & the Middle Keys

ABA Therapy in Marathon & the Middle Keys

Families in the Middle Keys shouldn't have to drive to Miami — or wait months for a callback — to get ABA services. We serve Marathon, Big Pine, Duck Key, and the surrounding islands, at home or in our Key West office when you're already heading down. Bilingual, English and Spanish.

Where we provide ABA therapy in the Middle Keys

We come to you for in-home sessions across the Middle Keys. For families who prefer an office setting, our Key West location at 524 Front Street is a short drive down. We coordinate schedules around the reality of Keys life, not the other way around.

  • Marathon and Key Colony Beach
  • Big Pine Key and Little Torch Key
  • Duck Key, Grassy Key, and Conch Key
  • Layton and Long Key

ABA services we offer in the Middle Keys

  • One-on-one ABA therapy for children with autism, in-home or in our Key West office.
  • Mental health counseling with licensed counselors.
  • Parent and caregiver training, in English or Spanish.
  • iBudget Waiver services for adults 21 and older.

Florida Medicaid in Monroe County

We accept Florida Medicaid and most Medicaid managed care plans. If you're not sure what your plan covers, call us and we'll look it up with you. Our Medicaid & ABA guide walks through the coverage rules in plain English.

Commercial plans are welcome too. See the plans we accept on our insurance page, or call us and we will verify your benefits with you.

From Grassy Key to the Seven Mile Bridge

Marathon sits in 33050, and the families we serve around it are spread across Grassy Key, Key Colony Beach, Duck Key, Conch Key and the islands on either side, up toward Islamorada in 33036 and down through Big Pine in 33043. It is a long thin service area with one road running through the middle of it, and we plan the week around that instead of pretending the geography is not real.

The alternative most Middle Keys families have been offered is a drive to the mainland, which for a young child means hours in a car before and after a single therapy hour. In-home sessions remove that entirely, and they keep the therapy attached to the routines it is supposed to change.

What a session looks like in the Middle Keys

A therapist comes to your address and works through the parts of the day that are actually hard: getting out the door in the morning, homework, dinner, transitions, bedtime. The visit ends with time for whoever cares for your child, so the plan keeps running between sessions.

Because our office is in Key West, roughly fifty miles down US-1, Marathon is on the route rather than off it. That is what makes a steady weekly schedule possible up here, and in ABA consistency matters more than any single session does.

Questions Middle Keys parents ask us

Does Medicaid cover ABA therapy in Marathon?

Yes. Florida Medicaid covers ABA therapy for children under 21 when it is medically necessary, and that applies in the Middle Keys exactly as it does anywhere else in Florida. We are an approved Florida Medicaid provider, so the coverage question and the distance question do not have to be solved separately. Our Florida Medicaid and ABA guide walks through eligibility and authorization.

Do you come to our home in Marathon?

Yes. Sessions happen at your home in Marathon and the surrounding islands, or in the community when that is where a skill has to work. Families who are already heading down for other reasons sometimes use our Key West office instead, and either arrangement is fine.

Is there a Spanish-speaking therapist available in Marathon?

Yes. Every clinician on the team works in both English and Spanish, so a Spanish-speaking household in the Middle Keys gets the same service as an English-speaking one, without waiting for a translator or settling for English-only parent training.

Do I need a diagnosis or a referral before we start?

ABA is authorized on the basis of an autism diagnosis, so that has to exist before services begin. Referral requirements vary by plan. If either piece is missing, call anyway: we will tell you what is needed and help you work out where to get it without driving in circles.

How soon can we start in Marathon?

It comes down to your diagnosis, evaluation and authorization status, and we will not quote a waitlist we cannot guarantee. Call 786-238-5931 and we will go through what you have and what is left, honestly, on that first call.

Ready to talk?

We'll answer your first questions on the phone, no pressure to commit.