The interesting decisions
haven't hardened yet.
Fathom North is an independent pediatric clinic being built in Oak Creek, Wisconsin — ABA and speech therapy planned for opening in 2027, occupational therapy planned for a later phase. The clinical principles are decided. How they become supervision, workflow, training, and daily practice is still being shaped — and shaping that is the founding team's actual job.
Clinical Director — BCBA (WI-licensed)
What this role actually is: Fathom North's clinical direction exists — parent partnership at the center, individualized dose decisions, an NDBI-informed foundation, measurement built into the model, caseloads with a ceiling. What doesn't exist yet is the machinery that makes those principles true on a Tuesday afternoon: the supervision cadence, the assessment workflow, the training systems, the quality reviews, the way progress gets explained to a parent. That's the work. You'd arrive early enough to shape it before any habit has formed, working directly with an owner who is all in — and you'd help select the founding team that carries it.
What this role is not: a blank check. The clinical principles, facility program, governance, and financial guardrails are established, and final organizational decisions sit with ownership. We'd rather tell you that here than let you discover it in month two. The honest ledger below spells out what's decided, what you'd shape, and what needs approval.
What you'll shape
- How the clinical model becomes implementation standards, intake practice, and parent-partnership routines
- Assessment workflow and toolkit (VB-MAPP, ABLLS-R, or your case for something better)
- Supervision cadence and where it happens — budgeted above the minimum in the financial model
- Training, quality review, and RBT competency systems for the founding team
What you'll need
- Active BCBA certification in good standing (BACB)
- Wisconsin behavior analyst license (DSPS) — or clear eligibility; we'll support the application
- Experience supervising RBTs and owning treatment plans
- A clinical philosophy centered on compassionate, assent-based practice
Every serious inquiry receives a personal response. Conversations are confidential — we know most strong candidates are currently employed.
What's decided, what you'd shape,
and what needs approval.
Most clinics won't write this down. We'd rather you know exactly what you're walking into.
Already decided
- Parent partnership is central — observation and family involvement are in the facility program, not a promise
- Dose decisions are individual — justified per child, revisited on evidence; no default high-hour dogma
- NDBI-informed clinical foundation — the model the facility is being designed around
- ABA and speech coordinated from opening — occupational therapy planned for a later phase
- Caseload ceiling — written into the financial design
- Measurement and review — progress explained to families, on a schedule, in plain language
- The facility program — room planning is underway with our architect
Yours to help shape
- Implementation standards — how principles become practice
- Supervision cadence, structure, and location
- Assessment workflow and the treatment-review process
- How progress is communicated to parents
- Staff training and RBT competency systems
- Quality review and clinical documentation workflow
- Founding-team selection — you help choose who you'll work beside
And honestly: some things stay subject to owner, regulatory, financial, or architectural approval — budgets, final hiring authority, licensing requirements, payer rules, and what the building itself allows. That's not fine print; it's how a responsible clinic is run. Influence here is real and early. It isn't unlimited, and we won't pretend otherwise.
What the founding Clinical Director's
first seasons look like.
Translation
You and the owner at one table, turning approved clinical principles into implementation standards: the caseload math in practice, the intake philosophy, the assessment stack — your reasoning, pressure-tested against the model.
The build
The facility program is with the architect. You walk the empty floor and weigh in on how clinical reality should shape what gets built — within what the drawings, budget, and code allow.
The team
You help select and train the founding RBTs and clinicians, and build the supervision and competency systems they'll grow inside.
First families
The doors open and the systems you helped build meet real children — with the data practices in place to show honestly whether it's working.
Ten years from now, we want this to be the building people point to when they say it can be done right.
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 plan, one hallway
ABA and speech therapy sharing one plan from opening day, with occupational therapy planned to join in a later phase. Collaboration is the design, not a meeting.
✦Shape it while it's soft
The clinical principles are decided. Founding team members help decide how they become real systems, supervision, and daily practice.
✦Mentorship that's real
Supervision budgeted above the minimum — hours that teach, growth paths that exist, 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.
✦A building designed for the work
Sound separation, observation, and sensory-aware rooms are in the facility program — the building is being designed around sessions, not squeezed around them.
No gauntlets. No ghosting. Just people.
Say hello
Email or the form below. Every serious inquiry receives a personal response.
A real conversation
Two-way. You interview us as much as we interview you. Confidential, always.
Work a real problem
Instead of trick questions: a working session on a real clinical scenario, to see how we'd actually collaborate.
A straight answer
Yes, no, or "not yet" — honestly, whichever it is. Your time gets respected either way.
Not the Clinical Director role? Put your name down.
Hiring for the wider founding team happens as opening approaches. This is an interest list, not a job application — you'll hear from us directly when your role becomes real, before it reaches any job board.
Role status, honestly: Clinical Director (BCBA) — open now. BCBA, RBT, and speech-language pathologist roles — planned toward opening; interest list only. Occupational therapist — future-phase interest: OT is not planned as an opening-day service, so this list is an early signal, not a near-term opening.