Nebraska's behavioral health sector saw 99 providers in the latest CMS NPI registry weekly update, representing 1% of the national total. This relatively small share indicates a more localized growth pattern compared to larger, high-volume states, with 68 of these providers being new this week.
ABA Workforce Composition
Focusing on the Applied Behavior Analysis (ABA) workforce, the data shows 5 providers with BCBA credentials and 39 providers with RBT credentials. It is important to note these categories are not mutually exclusive, as 1 individual holds both BCBA and RBT credentials, often signifying career progression from direct service to a supervisory role. The ratio of nearly 8 RBTs for every BCBA suggests a significant demand for direct service providers, but also highlights a potential strain on supervision capacity given the critical role BCBAs play in overseeing RBTs.
Provider Demographics
Among the 86 individual providers, the gender breakdown shows 71 female providers (83%), 13 male providers (15%), and 2 nonbinary providers (2%). This distribution is largely consistent with broader trends observed in the behavioral health field. No specific organizations appeared multiple times in this week's registrations, indicating a diverse range of smaller practices or individual practitioners rather than dominant multi-state chains.
The high RBT-to-BCBA ratio and the absence of dominant multi-state employers suggest that Nebraska's ABA landscape may be characterized by smaller, locally-focused practices, potentially impacting the scalability of services and access in underserved areas.
