James has specialized his career in using the science of behavior to engineer the performance of clinical staff within large-scale, private-equity backed, ABA service providers. Using his background as both a clinician and an operator, he's assisted in M&A integrations, managed teams of clinicians and regional clinical directors at the local and state market levels, owned PnL statements, developed a technology to increase treatment intensity authorization and utilzation, and scaled novel and innovative service offerings to national markets. He currently serves as VP of Clinical Performance and Innovation for the largest autism service provider in the country. He was responsible for engineering several key performance initiatives, including the development of an agency-wide staff assessment system, a performance management system for front-line clinicians, and following COVID-19, additional telehealth service platforms for Behavior Technicians. He was also responsible for creating a successful and scalable school transition program that added an average of 9 incremental hours per week per client while improving the client’s clinical performance by over 176%, with significant impact to gross and contribution margins. James is also the founder of BehavioralSwag.com and ABAlearninglab.com