Behavioral Analysts/BCBAs
Board Certified Behavior Analysts (BCBAs) are highly trained professionals who play a crucial role in helping individuals with various behavioral challenges, including those with autism spectrum disorder, developmental disabilities, mental health conditions, and more.
Their primary focus is to assess, analyze, and develop strategies to improve behavior, enhance learning, and promote positive outcomes for their clients. BCBA therapists play a vital role in improving the lives of individuals with behavioral challenges by helping them achieve their goals, enhance their communication and social skills, and reduce problematic behaviors.
Their expertise in applied behavior analysis empowers individuals and their families to navigate the complexities of behavior and make positive, lasting changes.
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Why Screening Early Matters
The CDC reports that 1 in 31 children in the U.S. is now identified with autism spectrum disorder by age eight. But most aren't diagnosed until after age four, even though signs often appear much earlier.
The American Academy of Pediatrics (AAP) recommends autism screening at 18 months and autism screening at 24 months during routine well-child visits. That window between 16 and 30 months is when social and communication differences tend to become visible.
Children who receive support early show stronger gains in language, social skills, and daily living skills. Several studies have proven that early behavioral interventions produce meaningful improvements across developmental domains. The benefits of early intervention are well documented, and ABA therapy can begin as soon as concerns are identified.
The Cross River Early Signs Checklist
You know your child best. Let's put that to use.
Think about how your child behaves on a typical day. Check every statement below that sounds like your child. Only check a box if you see the behavior regularly, not just once or twice. This free autism screener covers the areas most closely tied to early signs of autism in toddlers.
How to Read Your Results
Count how many boxes you checked. Each checked statement counts as one.
0 to 3 checks: Few concerns at this time. Your child's behaviors fall within a typical range for this age. Continue tracking autism developmental milestones at each well-child visit.
4 to 7 checks: Some areas worth watching. Talk to your pediatrician and share your checklist results. A professional screening can give you a clearer picture.
8 or more checks: Multiple areas of concern. A professional evaluation is strongly recommended. Children in this range benefit from a full autism diagnosis for children with a developmental pediatrician or psychologist.
A higher score does not confirm autism. A lower score doesn't rule it out. This checklist gives you a starting point for a conversation, not a conclusion. To understand what structured support looks like, learn more about applied behavior analysis (ABA) therapy.
Autism Red Flags Toddlers Show Between 12 and 30 Months
Some behaviors show up consistently in research as early signs of autism in 2 year old and younger toddlers.
Social Signs
Not responding to their name by 12 months.
Not pointing to share interest by 14 months.
Little or no eye contact.
Not looking at your face when something surprising happens.
Communication Signs
No single words by 16 months.
No two-word phrases by 24 months
Loss of words or babbling that was previously present.
Behavioral Signs
Lining up toys instead of playing with them.
Repeating the same motion or sound for extended periods.
Strong resistance to changes in routine, food, or environment.
Sensory Signs
Covering ears at ordinary household sounds.
Refusing to touch certain textures.
Very limited food preferences based on color, shape, or feel.
Keep in mind that autism presents differently in every child, so your toddler may not show all of these signs. Some children show strong social differences but few repetitive behaviors. Others show the opposite. What matters is whether you're seeing a consistent pattern across several areas.
If you're noticing several of these signals, start with the checklist above and bring your results to your next pediatrician visit. Early identification leads to stronger outcomes in language, social skills, and daily functioning.
Frequently Asked Questions About the Cross River Early Signs Checklist
What is the Cross River Early Signs Checklist?
It's a 15-statement parent observation tool for toddlers aged 16 to 30 months. You check the statements that describe your child's typical behavior. It's free, takes about three minutes, and helps you decide whether to seek a professional autism screening for toddlers.
How is the checklist scored?
Count how many boxes you checked. 0 to 3 checks means few concerns. 4 to 7 checks means you should talk to your pediatrician. 8 or more checks means a professional evaluation is recommended.
How much does ABA therapy cost?
Cost depends on your insurance plan, your child's needs, and session frequency. Most major insurance providers cover ABA therapy. You can review a full breakdown of ABA therapy costs and what to expect before you begin.
What's the difference between autism screening and diagnosis?
This checklist is a screening tool that flags possible concerns. A professional autism diagnosis for children involves direct clinical observation, standardized testing, and a full developmental history conducted by a licensed specialist. Screening tells you where to look. Diagnosis gives you answers.
When should I screen my child for autism?
The AAP recommends autism screening at 18 months and again at autism screening at 24 months. You can use this toddler autism checklist anytime between 16 and 30 months if you have concerns.
I checked 4 to 7 boxes. What should I do?
Share your checklist with your pediatrician and request a formal screening. You can also reach out to Cross River Therapy for guidance on next steps, including a professional evaluation or ABA therapy.
Can this checklist detect autism in girls?
Research shows that autism can look different in girls, who may mask social difficulties more than boys. This checklist covers behavioral patterns across all children. If you notice even a few concerns, bring them to a professional regardless of sex.
Where can I find ABA therapy for my child?
Cross River Therapy works with families across multiple states and age groups. Our behavior analysts design individualized treatment plans around your child's specific strengths, communication style, and needs. Explore our ABA therapy services to see what's available for your family.