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David Swire, MA, BCBA, LBA

Clinical Director and Board Certified Behavior Analyst with experience leading ABA teams, improving clinical quality, developing clinicians, and building scalable systems that strengthen service delivery.

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Client Growth

~75%

Denial Reduction

~90%

Therapist Retention

100%

Supervision Compliance

Measurable Impact

Center Growth

6 → 27 Clients

Led clinical growth of the Pearland center from 6 to 27 clients while expanding staffing, supervision capacity, and operational processes necessary to support sustainable growth.

Authorization Performance

~20% → ~5%

Strengthened treatment-plan documentation and payer-responsive templates, contributing to an approximately 75% reduction in authorization denials.

Employee Retention

~3 → ~1

Improved training, performance management, and staff-development systems, substantially reducing therapist turnover.

Supervision Compliance

100%

Developed an RBT supervision tracking system that gave supervisors clear visibility into monthly requirements and eliminated recurring end-of-month compliance problems.

Organizational Reach

50 Clinics

Developed clinical tools and training systems subsequently adopted by executive leadership and distributed across approximately 50 company clinics.

From Clinical Problems to Scalable Solutions

Case studies presenting scalable solutions for RBT supervision, training systems, and documentation improvement.

RBT Supervision Compliance System

Clinical Compliance

Challenge: Manual tracking of RBT supervision requirements created significant administrative pressure and compliance risks.

Solution: A centralized digital tracker that organizes data and calculates monthly requirements, providing real-time visibility.

Result: 100% RBT supervision compliance for over 18 months, eliminating end-of-month administrative scrambling.

Process Design

Data Visibility

Supervisor Accountability

Image by Austin Distel
RBT Training & Train-the-Trainer System

Training Design

Challenge: Variability in training created inconsistencies in clinical implementation and preparedness.

Solution: Developed a structured curriculum and train-the-trainer program to standardize expectations and training delivery.

Result: The system was adopted by executive leadership and distributed across approximately 50 company clinics.

Organizational Learning

Clinical Standardization

Scalable Systems

Image by Wesley Tingey
Authorization & Documentation Improvement

Payer Relations

Challenge: Inconsistent documentation and authorization denials created delays in treatment continuation.

Solution: Developed standardized templates and tracking systems aligned with payer expectations and peer reviews.

Result: Authorization denial rates declined from approximately 20% to 5%.

Clinical Documentation

Quality Improvement

Process Standardization

Data Dashboard Display
Clinical Assessment Tracking

Clinical Quality

Challenge: Lack of centralized assessment tracking made it difficult to identify programming gaps.

Solution: Developed a visual tracking system providing a centralized overview of assessment utilization.

Result: Executive leadership adopted the system and distributed it for use across approximately 50 company clinics.

Data-Based Decision Making

Process Improvement

Enterprise Scalability

Developing the Next Generation of BCBAs

Clinical leadership also means developing people. I have supervised five BCBA fieldwork interns at my current center, providing clinical mentorship, case consultation, performance feedback, and supervision throughout their development. Two of those interns completed their fieldwork requirements, passed the BCBA examination, transitioned into BCBA roles at the Pearland center, and now report directly to me as practicing clinicians.

My approach to supervision focuses not only on technical competence, but also on developing independent clinical judgment, leadership skills, accountability, and confidence.

5

BCBA Interns Supervised

2

Developed Into Practicing BCBAs

Clarity

People perform better when expectations, responsibilities, and standards are clear. I focus on creating systems that remove ambiguity and make successful performance easier.

Development

Performance management should not begin when something goes wrong. Coaching, feedback, supervision, and professional development should be part of the everyday culture of a clinical organization.

Systems

When the same problem occurs repeatedly, I look beyond the individual employee and examine whether the workflow, training, communication, measurement, or environment needs to change.

Clinical Quality & Oversight

My approach to clinical leadership is grounded in the belief that high-quality ABA services depend on more than strong individual clinicians. They require clear expectations, effective training, reliable systems, meaningful supervision, and strong communication between clinical and administrative teams.

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Most Recent Internal QA Reviews Earned Perfect Scores

Effective ABA organizations require strong partnership between clinical and administrative leadership. I work closely with center administration on staffing, scheduling, client intake and discharge, utilization, caseload capacity, productivity, hiring, and operational planning. This partnership allows clinical decisions to account for both treatment quality and the organizational systems necessary to deliver services effectively.

100%

RBT Supervision Compliance for 18+ Months

~75%

Reduction in Authorization Denials

Staff Development

  • • Direct performance responsibility for BCBAs and therapists
  • • Employee evaluations and corrective action planning
  • • Coaching, feedback, and goal development
  • • Oversight of BCBA fieldwork supervision practices
  • • Interviews for BCBAs, RBTs, interns, and trainers
  • • Hiring recommendations in partnership with administration
  • • Leads clinical onboarding and training materials
  • • Mentors newer BCBAs and oversees clinical training
Community Engagement

I lead various community-centric programs, including hosting public educational workshops and family-support initiatives alongside organized community outings to local landmarks such as the Houston Zoo and area children's museums.

Professional Experience

Aug 2022 – Present

Clinical Director | BCBA

Clinical Operations • Staff Leadership • Quality Assurance • Training • Supervision • Payer Authorization • Performance Management • Process Improvement

Mar 2021 – Jan 2022

BCBA

ABA Case Management • RBT Supervision • Caregiver Training • Staff Development

Dec 2020 – Mar 2021

BCBA

ABA Treatment Planning • Clinical Supervision • Caregiver Collaboration

Board Certified Behavior Analyst (BCBA)

Behavioral Innovations, Friendswood, Texas

Master's Degree in Applied Behavior Analysis

McNeese State University — December 2019

Licensed Behavior Analyst — Texas

Behavioral Innovations, Friendswood, Texas

Bachelor's Degree in Psychology

McNeese State University — December 2016

Let's Connect

I'm interested in opportunities to lead strong clinical teams, develop clinicians, strengthen ABA service-delivery systems, and improve organizational performance.

Building Clinical Systems That Work for Clients and the People Delivering Their Care

My approach to clinical leadership is grounded in the belief that high-quality ABA services depend on more than strong individual clinicians. They require clear expectations, effective training, reliable systems, meaningful supervision, and strong communication between clinical and administrative teams.

Current Leadership Scope
  • 27 clients
  • 2 BCBAs
  • ~25 therapists
  • 5-client personal caseload
  • BCBA fieldwork supervision
  • Clinical and administrative leadership partnership
How I Lead
Clarity
Development
Systems

People perform better when expectations, responsibilities, and standards are clear. I focus on creating systems that remove ambiguity and make successful performance easier.

Performance management should not begin when something goes wrong. Coaching, feedback, supervision, and professional development should be part of the everyday culture of a clinical organization.

When the same problem occurs repeatedly, I look beyond the individual employee and examine whether the workflow, training, communication, measurement, or environment needs to change.

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