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Little Leaves of Frederick, MD


Hours: Mon – Fri 8:30 a.m. to 4:30 p.m.

  • Natalia Mariani headshot
    Natalia J. Mariani

    Center Director

About Little Leaves

Little Leaves is an intensive Applied Behavior Analysis (ABA) program for young children with Autism Spectrum Disorder. Designed for children up to age 6 who have been recommended for ABA therapy, Little Leaves effectively provides early autism services and behavior therapy to young children in need.

Our Approach

Little Leaves provides high-quality, center-based ABA therapy for children ages 1 to 6 with autism. Our program is individualized, comprehensive, and designed to help each child build the skills they need to thrive. As a BHCOE-accredited provider, families can trust that their child is receiving care that meets the highest standards in the field.

Our extensive program includes: 

  • School Preparedness 
  • Preschool-Like Setting 
  • Caregiver Training
  • Individualized Therapy Plan
  • 1:1 Client-to-Clinician Ratio 

Admission Requirements

  • Your child is under the age of 6
  • Your child has an autism spectrum disorder diagnosis 
  • Your child has commercial insurance

Accepted Insurance

  • Aetna
  • Anthem Blue Cross Blue Shield
  • Cigna
  • John Hopkins Employer Health Programs (EHP)
  • Kaiser Permanente
  • United Behavioral Health/Optum

Hear From The Families At Little Leaves Frederick, MD

Learn how Little Leaves solutions, clinicians, and leadership have shaped and improved the lives of our clients and families.
  • The staff obviously care for and enjoy working with my child. My child loves to go to “school” and has made so much progress since she started.

    Frederick, MD

    • Parent
  • We love the progress our daughter has made in the 6 months she’s been at Little Leaves. The support staff are friendly, helpful, and very knowledgable. We’re so happy to have found Little Leaves 🙂

    Frederick, MD

    • Parent
  • I love the monthly meetings where parents and care givers can learn best practices in meeting the goals and needs of the child. These meetings are always very helpful and makes me feel like Little Leaves wants to help the parents with things that pertain to life at home as well as the targets that are necessary for development.

    Frederick, MD

    • Parent

Explore A Day in the
Life at Little Leaves

Imagine your child stepping into a warm, welcoming environment where every moment is thoughtfully designed to encourage growth, learning, and fun. From the moment they arrive, they are supported by caring professionals who guide them through a day filled with meaningful interactions, engaging activities, and structured learning opportunities.


Want to experience “A Day in The Life” in person?

Our Team

Our program is supervised by master’s- and doctoral-level Board Certified Behavior Analysts (BCBAs) and delivered by expertly trained therapists.

Within Little Leaves, we have created a model for our professionals to collaborate on treatment approaches, share best practices, and continuously learn from each other. Your child will be supported not just by his or her immediate team, but also by the decades of experience and expertise of all of our clinicians, many of whom have studied and trained in the finest ABA programs in the world.

  • Natalia Mariani headshot
    Natalia Mariani, M.A., BCBA, LBA, is a Board Certified Behavior Analyst who has been working in the field of ABA since 2008. She has provided services to individuals ages 2-18 with autism spectrum disorders in the center, home, school, and community settings across several states, including New Jersey, California, and Maryland. Natalia earned her B.S. in Psychology from Lafayette College in Pennsylvania and her M.A. in Applied Behavior Analysis from Caldwell University in New Jersey.    
  • Bio coming soon.
  • Katie Edgar, MA, BCBA is a Board Certified Behavior Analyst with 12 years of experience working with children and adolescents with developmental disorders, and other childhood disorders. Her experiences extend from consulting with parents and teachers across the home, school, and community settings, to providing program design, direct therapy, and supervision within the field of ABA. She earned her B.A. in Psychology from Millersville University in 2007, and an M.A. in Applied Behavior Analysis from Penn State University in 2013. 
  • Alyssa Tinston Headshot
    Alyssa Tinston, MS, BCBA is a Board Certified Behavior Analyst who has over 4 years of experience working in the field of Applied Behavior Analysis in both the home and clinic settings. Prior to her current role as Supervising Behavior Analyst, Alyssa was a Training Specialist at the Little Leaves Frederick center and has extensive experience in training RBTs. She holds a Bachelor of Science in Psychology from Longwood University and a Master of Science in Applied Behavior Analysis with specializations in autism spectrum disorders and behavior analysis in education from Capella University.

Our Credentials

committed to continuous improvement, BHCOE accredited 2022, 3-year accreditation

Little Leaves was recently awarded the highest level of accreditation by the BHCOE as a leader in high-quality, center-based early intervention resources for young children with autism.

Our Stats

  • 23

    Total Families Served Since Opening

  • 42,000

    Hours of Therapy Delivered

  • 32

    Full-Time Clinicians At This Location

  • 2023

    Year Founded

FAQs

  • Little Leaves primarily offers center-based services for young children with autism which are run in a preschool-like setting.  At the center, each client works one-on-one with a trained behavior technician on individualized goals with a focus on social communication, social interactions, and school readiness skills. Our program runs Monday through Friday from 8:30 am – 5:00 pm.  During the day, children have the opportunity to participate in individual therapy time, small group activities with peers, and activities of daily living.  While many clients are at our centers for the full day, an individualized schedule is developed for each child based on his/her therapeutic needs. Little Leaves also works with clients in their homes, daycares, and preschools, most frequently when clients are ready to transition from a Little Leaves center into community setting.

  • Little Leaves serves children with Autism. With our focus on early intervention, Little Leaves works primarily with children from the time they are diagnosed until they enter kindergarten.

  • Little Leaves only provides ABA therapy but we regularly collaborate with a child’s speech and OT providers to ensure a coordinated team-approach to treatment.  At our centers, we are usually able to accommodate outside therapy providers who would like to come in to see clients during the day.

  • Contact us to learn more about our services and if they are right for your family.

  • Little Leaves is in network with many insurance plans and fully supports families in accessing and using their insurance benefits.  Not all insurance companies, however, cover ABA for the treatment of autism.  Please visit our Insurance page  to learn about our plans and how to research whether your plan covers autism.  You can also feel free to reach out to us, and we can help you research your benefits.


Contact Little Leaves of Frederick, MD

If you are ready to get started and meet the following requirements, please call us or submit the form below and a member of our Family Support team will contact you within 24-48 hours

Meet our
Center Director

  • Natalia Mariani headshot
    Natalia J. Mariani

    Center Director