Company Type

Autism Treatment Clinics


$18 Million

Investment Type


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Autism F.I.R.S.T


Autism First is seeking $18 million to develop its Fairfax and Loudoun clinics, create the Academy/Day School, build out its relational care model offering mental health and counseling services for family/caregiver support system, and for additional autism treatment center acquisitions and working capital

Autism First currently operates from its Fairfax clinic in Herndon, VA, providing ABA, speech, and occupational therapies to autistic individuals with a staff of 4 BCBAs, 16 RBTs, and two clinical directors.  Active patient list of 34 individuals with continued growth weekly of new patient intakes and new patient inquiry requests

The Loudoun facility in Chantilly, VA will be its second location – will allow Autism First to continue to meet growing demand for therapy and treatment in the Virginia area

Plan to develop and/or acquire complementary technologies to improve access to care, drive improved outcomes and/or allow parents/caregivers to continue treatment at home to the autistic individual

Additional capital will allow Autism First to find and retain additional ABA staff and build out multi-disciplinary talent. (i.e., therapy and counseling services)

Autism F.I.R.S.T


According to the CDC, the incident rate of Autism has grown from 1 in 150 children in 2000 to 1 in 44 children in 2018

The growing rate of autism has accelerated demand for Autism therapy clinics

According to the Autism Investor Summit, the ABA market is growing at twice the rateof other multi-site healthcare businesses

The demand for ABA therapy is driving demand for Board Certified BCBAs – Burning Glass Technologies (now Lyghtcast) found that from 2010 through 2021, BCBA certification increased 5,852%

Autism F.I.R.S.T


Autism First  provides a differentiated approach to support Autism needs offering multi-disciplinary treatment for the child and relational care for the family support system

Deep Clinic Patient Care

Application of ABA therapy

Specialized therapies such as speech and language and occupational

Technology-Enabled Services

Leverage technology to streamline access to care for patients and families, drive improved outcomes, and support parents through enablement tools and training

Patient and Family Advocates

Advocating for the patient and the patient’s family to provide education around insurance programs as well as social and social welfare programs. Helps families better understand their insurance solutions. Work with insurance providers to streamline the process so that the recently diagnosed individual can quickly obtain an assessment and begin a treatment program.  This helps to make the process from diagnosis to treatment easy for all parties

Family Support

Providing support to patient’s siblings, parents, and caregivers through one-on-one and group counseling programs

Day Schools

Placed trained therapists in the classroom with the child to provide continued care during the school day

Autism F.I.R.S.T


Doug Ackley

Chief Executive Officer

Serves as the Chief Executive Officer for Autism F.I.R.S.T., responsible for driving the organization’s mission and vision

Over 20 years experience as a P&L owner, product leader and management consultant with a track record of identifying operating efficiencies and driving growth initiatives to address unmet needs in the market

Recently served as the Head of Product at DeVry University, a middle market company ($100-$500M in annual revenue), responsible for creating a product department and developing a new B2B product offering. Prior to that, he managed a $100M technology-enabled, recurring revenue business line at Gartner (~$4B annual revenue, global organization)

Jeff Shiring

Founder & Managing Partner

30 years of executive experience implementing successful roll-up and turnaround strategies in numerous industries including equipment rentals, waste management, and health care for both public companies and private equity groups

Served in a financial leadership role within the Hertz Equipment Rental Corporation where he oversaw $500 million of revenue and $1 billion in fleet. Currently serves as the Chairman of the Board for the Power Group and Impact Wrap

Served as the Chairman of Insight Eyecare (“Triangle Visions”), Whitecap’s first investment, creating a very special brand focused on a patient-centric care model in a retail driven industry. The vision and brand created significant value for employees and patients. Grew the business from three practices to 30 practice in over five years. Whitecap exited most of its position in 2019 yielding significant returns to its shareholders, achieving a 74% IRR

Licensed CPA in the State of Virginia, a member of the AICPA and Virginia Society of CPAs

Bill Oldham

Chairman of the Board

Over 30 years of experience as an entrepreneur, investor and consultant supporting growth industries and high value clients across health, technology, financial and energy industries

Built two $100 million companies from scratch, managed global financial and health organizations, and led teams and projects bringing innovation and technical excellence across geography and industries

Along with a team of two other investors, bought AscellaHealth, a long-term care focused pharmacy benefits manager. AscellaHealth has grown to manage over $2 billion in drug spend and more than $100 million in revenue with strong profitability every year of operation

Francesca Nasi

Chief Clinical Officer

Serves as the Chief Clinical Officer with responsibilities that include Clinical Operations, Events and Educational Opportunities, and Business Development

The first provider to expand to the European market providing a complete and global care approach.  She has also worked in Paris, France to establish the first ABA clinic for children and adults by collaborating with Dr. Troy Fry the author of the Essentials for Living: A comprehensive life skills curriculum with social validity, evidence-based teaching and measurement strategies, that result in the dignity and quality of life all individuals deserve

CEO and co-founder of Reach Aut, SRL., the only Tricare provider in Italy to offer a multidisciplinary relational approach to treatment for all military families.  The three clinics (Aviano, Vicenza and Naples) are within walking distance from each base providing a variety of services that include: Psychology, Applied Behavior Analysis, Occupational Therapy, Speech and Language Pathology, Physical Therapy and Psychiatry, Reach Aut can provide a global approach to care for all families of the Department of Defense that live abroad

Autism F.I.R.S.T

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Ken Margolis | Managing Partner Castle Placement, LLC
1460 Broadway Street, Rte 400
New York, New York 10036
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