ABA vs. Speech Therapy
Two different specialties, one shared goal — and most kids who need one benefit from knowing about the other.
5× Best Behavioral/Mental Health Treatment in Southern 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
5-Time Winner — Best Behavioral/Mental Health Treatment in Southern Utah
In 2026 Bridgeway won the “Best Behavioral/Mental Health Treatment in Southern Utah” award for the 5th 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
RBT vs. BCBA: Which ABA Career Path Is Right for You? · Top Interview Tips for ABA Therapy Jobs in Utah · How New Graduates Can Grow Their Careers in ABA Therapy · How to Start a Career in ABA Therapy With No Experience
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.
Talk to a real person about your child
One call: honest answers, insurance verification, and the right starting point — evaluation, therapy, or ABA.