We work with children, adolescents, and young adults. Our expertise spans early developmental concerns in toddlerhood through complex adolescent presentations, and includes adults whose neurodevelopmental differences have been present since childhood.
Autism can be evaluated and diagnosed as early as signs become evident. For many children, this is before their second birthday, and for some, concerns may emerge as early as 12 months of age.
At very young ages, some children already demonstrate a clear constellation of symptoms, while others may show emerging differences in social communication, play, engagement, or regulation. Both presentations warrant careful developmental evaluation.
Early identification is critical. During the first years of life, the brain is highly malleable, and intervention can meaningfully influence developmental trajectory. When we identify delays early, we can begin targeted, relationship-based intervention that supports children in building the social, communication, and regulatory skills that are not yet developing naturally.
Our goal is not simply early diagnosis, it is early understanding and early support.
Yes, we work with many adults.
Most of the adults we see had neurodevelopmental differences identified in childhood, including autism, ADHD, language disorders, or learning disabilities. Others come with longstanding questions about their developmental profile that were never fully clarified.
A common thread among the adults we work with is not a lack of intelligence or potential, but difficulty translating their abilities into consistent independence. Many have completed college or advanced training and possess strong cognitive strengths, yet continue to struggle with executive functioning, sensory processing, emotional regulation, and navigating complex social environments.
Some adults find themselves living at home longer than they anticipated, feeling uncertain about their next steps, or struggling to establish and sustain employment, friendships, or romantic relationships. These challenges can be especially confusing and discouraging for neurodivergent individuals who deeply value independence and have clear goals for themselves, yet find that translating their strengths into daily functioning is more complex than expected.
Our work focuses on understanding how a person’s neurodevelopmental profile continues to shape adult functioning and on building the practical, relational, and regulatory skills needed to move toward greater autonomy and confidence.
Yes. When clinically indicated, we conduct comprehensive autism evaluations using gold-standard measures integrated with developmental history and direct observation.
We are particularly experienced in nuanced presentations, including:
No. Although families often come to us with questions about autism, our evaluations are always comprehensive.
An autism evaluation examines the full range of neurodevelopmental and mental health considerations, including ADHD, social (pragmatic) communication differences, developmental coordination disorder, intellectual disability, anxiety, mood dysregulation, and behavioral or conduct challenges. We do not assess in isolation we assess within a broad developmental framework.
If a child is showing signs of a specific learning disorder, additional academic testing may be recommended. Otherwise, the diagnostic questions relevant to neurodevelopmental and emotional functioning are addressed within the autism evaluation itself.
We refer to it as an “autism evaluation” because it includes comprehensive and direct assessment for autism using gold-standard measures, including the Autism Diagnostic Interview–Revised (ADI-R) and the Autism Diagnostic Observation Schedule–Second Edition (ADOS-2). These instruments allow for rigorous, research-aligned assessment while still integrating the child’s full developmental profile.
We specialize in comprehensive neurodevelopmental evaluations for children, adolescents, and young adults. These may include full or targeted neuropsychological assessments of autism spectrum disorder, ADHD, learning profiles, executive functioning, emotional regulation, language-based learning differences, and twice-exceptional presentations.
Our evaluations integrate gold-standard tools with deep developmental formulation. We do not believe in one-size-fits-all testing batteries; each evaluation is thoughtfully designed around the individual child.
What sets our evaluations apart is their truly comprehensive, multi-method design integrating gold-standard instruments, developmental history, multiple direct testing sessions, direct observation, and cross-setting data to ensure conclusions are never based on a single source of information.
Our model bridges research-grade rigor with warm, attuned, and highly individualized clinical care. We integrate structured diagnostic interviews and direct assessment with detailed cognitive, language, adaptive, sensory, and emotional profiling.
Equally important, we contextualize findings within the child’s family, school, and developmental history. Our goal is not simply to provide a diagnosis, but to generate clarity, direction, and a meaningful roadmap forward.
Most comprehensive evaluations occur across multiple sessions. The number of hours depends on the referral question and the child’s profile. They generally range from 5-12 hours.
A typical process includes:
We value thoroughness and do not rush the process.
Yes. We offer evidence-based therapy tailored to individual neurodevelopmental profiles, including:
Our therapy model is strengths-centered, developmentally informed, and collaborative.
No.
We are an outpatient practice and are not equipped to safely treat children or adults who demonstrate high levels of physical aggression or severe self-injurious behavior.
For individuals requiring intensive behavioral stabilization or specialized safety-based programming, we strongly encourage families to seek care through dedicated severe behavior programs. Highly regarded programs include those at Rutgers University, Children’s Hospital of Philadelphia, and the Kennedy Krieger Institute.
Our priority is always ensuring that individuals receive care in the setting best suited to meet their clinical and safety needs. When appropriate, we are happy to collaborate with specialty programs as part of a broader continuum of care.
Yes. Our reports are designed to be clear, detailed, and educationally actionable. We frequently collaborate with schools and educational teams to help ensure appropriate supports, accommodations, and placements.
Yes. We are well versed in navigating the New York City educational system and regularly provide detailed, individualized school and service recommendations as part of our evaluation process.
Our reports include specific guidance regarding appropriate educational placement, classroom structure, related services, and supports for IEP and 504 planning. We aim to ensure that recommendations are developmentally and diagnostically aligned, evidence-based, and clearly articulated.
When appropriate for an individual child, we also provide testimony in impartial hearing cases. Our focus is always on clarifying the child’s neurodevelopmental profile and ensuring that educational programming appropriately meets their needs.
Yes. Your child does not need to be an existing client in our practice to participate in a group program.
If your child has been evaluated elsewhere or is currently in therapy with a provider from another practice, we will ask that you provide a copy of the prior evaluation and any relevant clinical documentation for our review. This allows us to understand your child’s developmental profile and thoughtfully assess initial fit for the group.
If your child is working with another therapist, we may also request permission to speak directly with that provider to ensure coordination of care and appropriate placement.
We will then schedule a screening appointment with you and your child to ensure that the specific group you are considering is developmentally and clinically appropriate. Careful matching is important to the success of our groups.
If the group appears to be a good fit, we will move forward with enrollment. If it is not the right match, we will provide thoughtful recommendations for alternative services. Our priority is always ensuring that your child is placed in the setting most likely to support meaningful growth.
No. We are an out-of-network practice. This allows us to provide extended evaluation time, comprehensive reporting, and individualized therapy that is often not possible within insurance-restricted models.
We provide detailed superbills for families seeking out-of-network reimbursement.
We are a fee-for-service practice that does not work directly with insurance companies. We provide monthly superbills for families who wish to seek reimbursement from their insurance company.
Therapy sessions with independently licensed clinicians range from $380–$580 per session, depending on the clinician’s level of experience and specialization.
Each clinician also maintains a limited number of reduced-rate cases for families with documented financial need.
For families seeking lower-fee options, we offer appointments with predoctoral and postdoctoral graduate-level clinicians who are under the supervision of Dr. Cynthia Martin. Rates for these appointments range from $80–$280 per session, depending on training level and service structure.
We believe in maintaining high clinical standards while also building multiple access points for families whenever possible.
Comprehensive autism and neuropsychological evaluations conducted by a licensed psychologist range from $6,000–$10,000, depending on the complexity of the referral question and the scope of testing required.
As with therapy services, each clinician maintains a limited number of reduced-fee evaluations for families with documented financial need.
We also offer reduced-rate comprehensive evaluations conducted by predoctoral graduate students and postdoctoral fellows under the supervision of Dr. Cynthia Martin. These evaluations range from $2,500–$4,500, depending on the scope and level of assessment.
All evaluations, regardless of clinician level follow our comprehensive model with diagnostic formulation, individualized recommendations, and a comprehensive summary report.
A standard comprehensive developmental evaluation for a child under the age of three is $2,800.
For some very young children, most often those between approximately 12 and 15 months of age the assessment process may be more streamlined, as evaluating a very young toddler typically requires fewer hours. In these cases, evaluation fees range from $1,275–$1,500, depending on the complexity of the referral question and the overall time required.
Our goal at this stage is early clarity and early guidance, when intervention can have the greatest developmental impact.