FATHOM NORTHThe job you've been describing to your friends
— "if a clinic ever did it right…" —
is hiring.
Fathom North is a new, independently owned pediatric clinic opening in Oak Creek — ABA, speech, and OT under one roof, built from a blank page. No corporate playbook. No inherited culture. Just the version of this work you got into this field to do.
yes, there will be laughter in the hallways. that's a design requirement.Clinical Director — BCBA (WI-licensed)
This role exists exactly once in a clinic's life. Every clinic you've ever worked at was already someone else's vision by the time you arrived. This is the other side of that moment: a blank page, a committed owner, and the chance to build the clinic you've been quietly redesigning in your head for years.
Here's the problem we're here to fix: somewhere along the way, this field started running kids through schedules instead of running clinics around kids. Every clinician knows it. Almost nobody gets handed the keys to fix it. That's this seat — the clinic where every child is truly known, every family sees real progress, and the team actually loves coming to work. You build that program shoulder-to-shoulder with an owner who's all in; every standard, every hire, every kid's breakthrough traces back to what you build in year one. And yes — it's going to be fun.
What you'll shape
- The clinical model, intake standards, and parent-training approach — from scratch
- Assessments (VB-MAPP, ABLLS-R, or your preferred toolkit) and treatment quality
- Hiring, training, and supervising the founding RBT team
- Caseload design — with a ceiling written into the business plan, not a promise
What you'll need
- Active BCBA certification in good standing (BACB)
- Wisconsin behavior analyst license (DSPS) — or clear eligibility for one; we'll support the application
- Experience supervising RBTs and owning treatment plans
- A clinical philosophy centered on compassionate, assent-based ABA
We respond to every applicant within 24 hours. Conversations are confidential — we know most great candidates are currently employed.
The job everywhere else. The job here.
Everywhere else
- Hit the billable-hours number
- Inherit a program someone else built
- Caseloads that grow until you break
- A regional office three states away
- Documentation on your couch at 9 PM
- "Culture" is a pizza party
At Fathom North
- Help every kid actually get somewhere
- Build the program — your standards, day one
- Caseload ceilings written into the business plan
- The owner, across the table, all in
- Documentation time inside the workday
- Culture is laughter down the hallway, daily
From blank page to first families.
The blueprint
You and the owner at one table: the clinical model, the caseload math, the intake philosophy, the assessment stack. The decisions every clinician wishes someone had asked them about — all yours to make.
The build
Therapy rooms, sensory spaces, the observation setup — you walk the empty floor and help decide what goes where. Very few clinicians ever get to help design their own clinic.
Your team
You hire the founding RBTs and clinicians — people you choose, trained your way, into a culture that's yours to set. The team you always said you'd build if anyone let you.
The first families
The doors open, the first kids walk into rooms you designed, greeted by a team you built, running a program with your name all over it. You'll remember that day for the rest of your career.
Ten years from now, we want this to be the building people point to when they say it can be done right.
and the founding team gets to say: we built that.Built for the people who do the work.
🧭Caseloads with a ceiling
Written into the financial model before opening — not a recruiting promise that evaporates by month three.
🤝One team, one table
ABA, speech, and OT sharing one plan and one hallway. Collaboration is the design, not a meeting.
🌱Build it, don't inherit it
Founding team members shape the clinical model, the culture, and the standards from day one.
📚Mentorship that's real
Supervision hours that teach, growth paths that exist, and leadership that's done the job.
🏡Go home on time
Sustainable schedules and documentation time inside the workday. Burnout isn't a badge of honor here.
😄Laughter, on purpose
A building designed for joy — for the kids and the adults who show up for them.
No gauntlets. No ghosting. Just people.
Say hello
Email or the form below. A human replies within 24 hours — usually the founder.
A real conversation
20 minutes, two-way. You interview us as much as we interview you. Confidential, always.
Build something together
Instead of trick questions: a working session on a real clinical scenario. See how we'd actually collaborate.
A straight answer
Yes, no, or "not yet" — quickly and honestly, whichever it is. Your time gets respected either way.
BCBAs · RBTs · Speech-Language Pathologists · Occupational Therapists
We'll be hiring the full founding team as opening approaches. Leave your name now and you'll hear from us first — before any job board does.