The Perfect Child ABA has been named in a federal lawsuit in Mississippi, has filed collection suits against at least nineteen families and employers since late 2024, and is the provider behind a widely reported $911,400 autism therapy bill sent to a New Jersey mother who says she was promised no out-of-pocket costs. The Brooklyn-based applied behavior analysis company has also drawn a pattern of complaints from parents and former employees alleging inflated insurance billing and ethical problems.
The $911,400 New Jersey Bill
Carolina Lopez, a mother in Roselle Park, New Jersey, enrolled her three-year-old son Ezekiel with The Perfect Child in July 2025 after the company promised “immediate treatment” with “no out-of-pocket costs,” according to the Wall Street Journal. Workers delivered three to four hours of in-home therapy several days a week.1Wall Street Journal. Autism Therapy Insurance Bills
In April 2026, Lopez received a bill for $911,400.1Wall Street Journal. Autism Therapy Insurance Bills Records reviewed by the Journal showed the company billed her insurer $30,500 for a single day on which Ezekiel received 70 minutes of therapy.2Yahoo Finance. Jersey Mom Found Autism Care The insurer denied the claims.3Wall Street Journal. Five Takeaways From the WSJ’s Autism Billing Abuse Investigation The Perfect Child eventually stopped visiting Lopez’s home, and she has ended all autism services for her son.
No public response from the company on Lopez’s case has been reported, and available reporting does not indicate she has filed suit.
Collection Suits Against Families
The Lopez bill is not an isolated event. The Perfect Child has sued at least nineteen families and employers since late 2024 to collect unpaid balances for therapy services.4Finexus. The Perfect Child Billing Lawsuits
One Florida family cited in that reporting received $510,000 in bills for nine months of therapy. Their insurer paid roughly $358,500, and the company then billed the parents directly for the remainder at rates that worked out to about $10,000 for a single session.4Finexus. The Perfect Child Billing Lawsuits
Sanger v. The Perfect Child LLC
In federal court, The Perfect Child LLC was a defendant in Sanger v. The Perfect Child LLC et al., Case No. 3:23-cv-00396. Kayley Sanger originally filed in Hinds County Circuit Court in Mississippi, and the case was removed to the U.S. District Court for the Southern District of Mississippi in June 2023. It was docketed as a contract dispute.5CourtListener. Sanger v. The Perfect Child LLC
Named alongside The Perfect Child LLC were Simcha Bunim Bendet, described as an individual associated with the company, and a network of related entities: The Perfect Child MSO LLC, Adroit Children LLC, Blue Spectrum Canopy LLC, Brighter Futures ABA LLC, Echoing Minds ABA LLC, Gifted Futures ABA LLC, Gifted Futures MS LLC, and Simply Stars ABA LLC. All shared the same legal representation and filed joint motions.6PACER Monitor. Sanger v. The Perfect Child LLC et al
The defendants counterclaimed in July 2023, and Sanger responded the following month. The case ended on January 26, 2024 when the parties filed a stipulation of dismissal with prejudice, meaning it was resolved by agreement and cannot be refiled.5CourtListener. Sanger v. The Perfect Child LLC Public court records do not reveal the settlement terms or the underlying allegations.
Complaints From Parents and Former Employees
The Perfect Child holds an F rating from the Better Business Bureau, with eight complaints filed and seven receiving no response from the company. Reviewers described the company as “highly unprofessional” and alleged it sends inexperienced staff and charges insurers inflated amounts. One reviewer said services were canceled with 24 hours’ notice, leaving an autistic child without care. Another said the company waited two months after completing onboarding before informing the family it would not accept their insurance.7Better Business Bureau. The Perfect Child LLC
On Beaming Health, where the provider carries a 2.8 out of 5 rating and its California listing is flagged as “inactive/closed,” one parent reported a “predatory almost $100,000 bill” that the company later admitted by email was sent “by mistake.” Another parent using out-of-network benefits said the company demanded weekly checks and threatened to suspend services if payments were not made through Zelle or Venmo.8Beaming Health. The Perfect Child – California
Former staff have raised parallel concerns. A former Board Certified Behavior Analyst wrote on Indeed in June 2025 that “if I was an ethical provider, and if I did not believe in health insurance fraud, it was best I did not work for The Perfect Child.”9Indeed. The Perfect Child LLC Reviews A former office manager alleged the company is “NOT committed to providing high-quality, ethical, and individualized ABA services.” Other employees have praised the company for supportive clinical leadership and professional growth.10Indeed. The Perfect Child LLC Reviews
Wider Scrutiny of the ABA Industry
The allegations sit inside a broader wave of scrutiny of ABA billing. Aetna reported that internal investigations into likely fraud or abusive billing by autism-therapy providers in its private-plan business rose 300% between 2024 and 2025, with a further 50% increase projected for 2026. Patterns flagged by investigators include billing for services never rendered, inflating hours, and charging high rates for care delivered by minimally trained staff.1Wall Street Journal. Autism Therapy Insurance Bills
The U.S. Department of Health and Human Services Office of Inspector General has also opened state-level audits of Medicaid payments for ABA services. In every state audited, every sampled claim period contained at least one improper or potentially improper charge.11HHS Office of Inspector General. ABA Services Audit Work Plan The OIG audits address the ABA industry generally rather than The Perfect Child specifically.