ABA vs. Speech Therapy
Two different specialties, one shared goal — and most kids who need one benefit from knowing about the other.
6× Best Behavioral/Mental Health Treatment in Southern + Northern Utah · Voted #1 in Utah 6 years running · CASP 2026 Platinum Sponsor
What each one actually does
Speech-language therapy is delivered by speech-language pathologists (SLPs) and targets the mechanics and structure of communication: articulation, language comprehension, sentence-building, feeding and swallowing, and social language. ABA is delivered by behavior analysts (BCBAs) and technicians, and targets behavior and skill-building broadly — communication among them — using reinforcement-based teaching.
The overlap is real: both may teach a nonverbal child to request. The difference is scope and method. SLPs go deeper on speech and language systems; ABA wraps communication inside a bigger behavioral program covering daily living skills, challenging behavior, social skills, and learning readiness.
Which one first — or both?
For an autistic child with delayed communication plus behavioral or skill needs, ABA is typically the insurance-funded core program, with speech therapy layered alongside. For a speech-only delay with no other differences, an SLP alone may be the right call. Many Bridgeway families run both, and our BCBAs coordinate goals with outside SLPs so the systems match.
ABA vs. speech therapy at a glance
| ABA Therapy | Speech Therapy | |
|---|---|---|
| Provider | BCBA + behavior technicians | Speech-language pathologist (SLP) |
| Core focus | Behavior, skills, and communication broadly | Speech, language, and communication systems |
| Typical intensity | 10–40 hours/week | 1–3 sessions/week |
| Best for | Autism with behavioral + skill needs | Speech/language-specific delays |
| Insurance basis | Autism diagnosis (typically) | Speech/language diagnosis |
Frequently Asked Questions
Does Bridgeway provide speech therapy?
Bridgeway's core services are ABA, mental health, evaluations, and psychiatry. Our teams coordinate closely with outside speech-language pathologists many of our families also see.
Can ABA teach my child to talk?
ABA builds functional communication — spoken words for many children, signs or devices for others — and coordinates with SLPs on the speech-specific mechanics.
Why Families Trust Bridgeway
6-Time Winner — Best Behavioral/Mental Health Treatment in Southern + Northern Utah
In 2026 Bridgeway won the “Best Behavioral/Mental Health Treatment in Southern + Northern Utah” award for the 6th time — recognition voted by the Southern Utah community.
Voted #1 in Utah — 6 Years Running
For 6 consecutive years, families and the community have voted Bridgeway #1 in Utah for the services we provide, including ABA therapy, autism evaluations, and children's mental health care.
Platinum Sponsor — CASP 2026
Bridgeway is a Platinum Sponsor of the Council of Autism Service Providers (CASP) 2026 conference, reflecting our commitment to raising the standard of autism care nationally.
Where to go from here
Keep reading
How ABA Helps Nonverbal Children Communicate
Bridgeway services
ABA Therapy — Utah locations · Early Intervention ABA — Utah locations · Autism Evaluation — Utah locations
From the Bridgeway Blog

What is Applied Behavior Analysis (ABA) Therapy? A Beginner's Guide for Parents
August 30, 2026

How ABA Therapy Supports Children in the Classroom and at Home
February 6, 2026

Does Utah Medicaid Cover ABA Therapy? A 2025 Parent Guide
February 4, 2026

Myths vs. Facts: Uncovering the Truth About Modern ABA Therapy
August 21, 2026
This page is educational and is not medical advice, a diagnosis, or a substitute for evaluation by a qualified clinician. If you have concerns about your child, contact a licensed professional. In an emergency, call 911 or the 988 Suicide & Crisis Lifeline.
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