“Can a small, multi-state ABA therapy provider scale clinical quality and operational efficiency with lean back-office infrastructure?”
Founded in 2017, Nexus Solutions for Autism is a small healthcare services provider delivering in-home Applied Behavior Analysis (ABA) therapy to children on the autism spectrum across Illinois and Oklahoma. The company has grown to 45+ employees and expanded into a second state market (Oklahoma City). Its embedded finance footprint is minimal and operationally focused — primarily using Gusto for HR, payroll, and benefits administration rather than building any fintech products of its own.