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Fractional COO & Operations

Your ops are either building you up or bleeding you out.

Building something that inspires better in everyone..

From Chaos embeds senior operational leadership — and a full ops team — into your practice or business. Without the full-time price tag.

Book a Discovery Call How We Work
What's covered under one retainer
01
HR Operations
Policies, documentation, compliance, staff relations
02
Talent Acquisition
Sourcing, screening, hiring systems, onboarding
03
Billing Operations
Claims, credentialing, payer enrollment, authorization
04
Client Care Operations
Intake, onboarding, communication, retention
05
People Infrastructure
Org design, culture systems, T&D, performance
06
Tech Stack & AI Integration
Audit, implementation, automation, optimization

All of it. Actually done. Not templated. Not pieced together. Not handed off to someone you've never met.

ABA Practice Ops
9 States
Fractional COO/DOO
Remote Ops Team
Payer Credentialing
Bilingual EN/ES
Neurodivergent-Affirming
Trauma-Informed
Who We Serve

Two kinds of chaos.
One firm that gets both.

ABA practices and small service businesses share more operational DNA than most people realize. We've built for both.

ABA & Behavioral Health
Clinician-led & mission-driven practices
Multi-state credentialing, DMAS, TRICARE, BACB compliance — we know this space from the inside. No learning curve.
  • In-home, clinic & school-based ABA
  • Multi-state ops & credentialing (9 states)
  • Medicaid, TRICARE & DMAS billing
  • RBT/BCBA/BCaBA hiring & clinical ladders
  • DOE RFP & government contracting
  • Bilingual family support (EN/ES)
Service Businesses
Community-rooted founders & operators
You built something real. Now it's outrunning you. We help you step out of the weeds and into actual leadership.
  • Barbershops, salons & personal services
  • Healthcare & therapy practices
  • Early-stage startups in growth mode
  • Founders working in — not on — the business
  • Teams that outgrew the founder's bandwidth
  • Owners who want to take a real vacation
The Exit Ramp

We build it. We hand it back.

Every engagement has an exit plan built in from day one. You'll never be dependent on us to run what we built for you. That's not a philosophy — it's the agreement.


How We Work →
Let's Talk

Stop running on fumes.
Let's build something solid.

Building something that inspires better in everyone..

30 minutes. No pitch deck, no pressure. Just an honest conversation about what's breaking and whether we're the right fit to fix it.

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