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Yes, a physician’s referral is needed to begin the evaluation and therapy process. Please call our clinical coordinators at 972.288.5437 and our staff will assist you in receiving a physician’s referral.

We provide therapy services to patients ages 0-20 years old, in-home and in-office. Our “Express Yourself” division (located in Duncanville, Texas), is ideal for teens and young adults, offering its own “kid free” suite for a mature communication experience.

Our therapy sessions are between 30-60 minutes, depending on each patient’s needs.

For the safety and comfort of the children, Parents/Caregivers must remain on the premises at all times in our waiting area or parking lot. Parents will be notified if child cries inconsolably or is upset for more than 10 minutes.

We accept most Texas Medicaid plans, Blue Cross Blue Shield and Private Pay. At this time, we do not accept Tri-Care as a primary insurance.

Out of pocket cost are solely dependent upon your insurance plan. A detailed summary of benefits will be provided to you before you begin therapy so that there are no surprise bills from Puzzle Piece Kids. Payment is required at time of service.

Our private pay rate is $110 per session, which is the lowest in the industry. Please feel free to compare prices.

Children with Autism are required to have a medical diagnosis of Autism in order to receive coverage from your insurance provider. If your child has not been diagnosed, we can assist you in finding a medical professional to evaluate and diagnose your child.

We are an in-network provider for the following insurance companies:

• Blue Cross Blue Shield
• United Healthcare
• Aetna
• Cigna

Although we are in-network with these companies, your individual insurance plan determines your eligibility and benefits.

Puzzle Piece Kids staff members are not permitted to change your child’s diapers/ pull ups or provide potty training services. Parents/Caregivers will be called from the waiting area to change diapers/clothes, if necessary.

All Puzzle Piece Kids therapists are American Heart Association certified in CPR (Adult, Child and Infant), First Aid and AED trained.

In an effort to keep everyone well and not spread illness to our families, sick children are not permitted to participate in therapy in the home or our Skill Building Centers. If a child becomes sick while in the Puzzle Piece Kids Skill Building Center, the parent/caregiver will be notified immediately and the child must leave and return when better. A doctor's note may be required (depending on illness) before your child can participate in therapy.

Green/Yellow runny nose, coughing, fever, diarrhea, vomiting, unidentified rashes. If a child has allergies that imitate cold or flu symptoms, documentation may be requested indicating the nature of the allergy symptoms. If your child contracts a contagious illness (ie. flu, mumps, chicken pox, pink eye, strep throat), please notify Puzzle Piece Kids Skill Building Center’s front office so that we can watch for other cases in other children or therapists that your child may have come in contact with.

Yes! We accept CareCredit to payment for ABA and Speech Therapy services.

Unfortunately, Medicaid or CHIP does not cover ABA therapy. We do accept these insurances for Speech Therapy services.