Case Study
How a 48 Location ABA Therapy Provider Saw
20% Increase in Leads in
just 90 days.
The Strategy Revealed…..
-13%
Reduction in Marketing Costs
+20%
Increase in Total Leads Acquired
+18%
Increase in New Clients
-25%
Reduction in Average Cost/Lead
-19%
Reduction in Customer Acquisition Cost
Digital Marketing Case Study:
CULTIVATE
Behavioral Health & Education



Client Background
Cultivate Behavioral Health & Education provides Applied Behavior Analysis (ABA) therapy to children with Autism Spectrum Disorder (ASD), helping them develop essential life skills. With a commitment to personalized care, they focus on improving communication, social skills, and independence through both center-based and in-home therapy. Their evidence-based approach empowers families and helps children reach their full potential in a supportive and structured environment.
Their Challenge
Cultivate Behavioral Health is an ABA therapy provider that specializes in both in-home and center-based ABA Therapy, with 48 locations in 11 states in the US. Despite their excellent service offerings, they faced several marketing challenges, including:
- Inconsistent lead generation resulting in less-than-ideal patient acquisition.
- Outdated branding and website design that did nothing to reflect their expertise and credibility.
- Sub-par local SEO performance, limiting their visibility in many key markets.
- Fragmented digital marketing efforts that lacked accountability and a clear strategy.
As a Private Equity portfolio company, their growth targets called for a scalable and results-driven digital approach to marketing.
Our Solutions
Aspire Digital Solutions partnered with Cultivate BHE, and together planned and executed an in-house omnichannel digital marketing strategy that immediately improved their patient acquisition rates.
Key initiatives included:
- Optimized Lead Generation Strategy – Our team redesigned their website from the ground up, with conversion-focused location-based landing pages, and an intuitive appointment booking system with map-based region selection.
- SEO & Local Search Optimization – Improved top 3 search rankings for key terms in both direct and nearby population centers relative to each clinic – increasing organic visibility and reach in each of their target markets.
- Paid Advertising & PPC – Launched hyper-targeted Google and Facebook Ads, with a quick turn to much higher-quality leads at a lower overall cost.
- Reputation Management – Enhanced their online presence by improving their Google Business Profiles, analyzing review quality, and streamlining review management.
- Content Marketing & Patient Engagement – Developed educational, siloed blog content and social media strategies to build trust and authority.


Website Redesign
For Patients & Performance
Cultivate Behavioral Health & Education had an established online presence but needed a more streamlined, patient-friendly website to support their rapid growth. Their site contained valuable information but wasn’t structured to maximize engagement or conversions, and lacked visibility in some local markets. Aspire worked closely with their team to create a modern, easy-to-navigate website designed to serve both families and search engines.
Improvements included:
- Improved Navigation & UX: A more streamlined structure made it easier for families to find information, schedule consultations, and explore ABA therapy options.
- SEO-Optimized Content: We rewrote and structured all 48 location pages with well-researched keywords, resulting in far better rankings in organic search results.
- Integrated Booking & Contact System: A user-friendly appointment scheduling feature, including a map-based region selection, made it simple for parents to connect with the right clinic.
- Mobile-First Design: With many users accessing the site via phones, we focused on blazing site speed, accessibility, and a seamless browsing experience across all devices.
The result? Higher engagement, better engagement times, and a more effective platform for connecting with families in need of ABA therapy.
Content Development
With 48 locations across multiple states, Cultivate needed a structured, SEO-driven content strategy to improve local search rankings and enhance user engagement. Our approach focused on optimizing existing content and creating a system that would drive long-term growth.
- Location Page Overhaul – We rewrote and restructured all location pages with high-value, locally optimized content, increasing visibility for both hyper-local searches and targeted nearby metro areas.
- Siloed Blog Strategy – We developed a content framework that leveraged geo-targeted blog posts to further strengthen rankings in competitive metro areas.
- Conversion-Focused Content – Core service and informational pages were rewritten to better engage site visitors, simplify the user experience, and drive appointment bookings.
- Improved Internal Linking – We optimized internal linking structures to improve site navigation, increase engagement, and reinforce local authority for each clinic.


Google Ads & Paid Search Strategy
To help Cultivate scale patient acquisition across multiple locations, we launched hyper-targeted Google Ads campaigns that connected families with ABA therapy services in their area. By focusing on high-intent keywords and refining geo-targeting strategies, we made sure that our ads were reaching parents who were actively searching for autism therapy options near them.
Our strategy included:
- Localized PPC Campaigns – Refined ad copy and location-based bidding to maximize reach in key markets.
- Conversion-Focused Landing Pages – Custom-built pages optimized for lead generation, with clear CTAs and easy appointment booking.
- Smart Bidding & Budget Allocation – Automated bidding strategies to prioritize high-performing keywords while reducing wasted ad spend.
- Ongoing Optimization – Regular A/B testing of ad creatives, keyword adjustments, and negative keyword filtering to improve efficiency.
As a result, Cultivate saw a 25% reduction in cost per lead and a significant increase in lead quality, helping them fill open slots more effectively while seeing a strong return on ad spend (ROAS).
SEO
With Cultivate’s growing presence in multiple states, a scalable national-to-local SEO strategy was vital to improving visibility, attracting high-intent visitors, and increasing conversions. Our approach focused on restructuring location pages with unique, keyword-rich content that targeted both primary cities and nearby metro areas. By optimizing for “near me” and regional searches, we expanded their reach beyond clinic-based searches, helping families find the right services in their area. Additionally, we implemented a siloed content strategy, creating location-based content that reinforces each clinic’s authority, improves rankings, and provides valuable educational content for parents.
Beyond content optimization and strategy, we focused on the technical foundation of SEO – improving site speed, mobile usability, and structured data to enhance search performance and improve rankings in the key markets they were targeting. Backlinking efforts were also a priority, to boost local authority and trust signals where needed.
These combined strategies led to top 3 search rankings for over 25 locations, a significant and steady increase inleads from organic visitors, and more appointment conversions – solidifying Cultivate’s online presence in a competitive healthcare market.
Total High-Value Keywords Improved
%
Increase in Leads from Organic Search
90 Day Results
Google Ads:
- Increased Google Ads impressions by 28%
- Reduced Google Ads spend by 18%
SEO:
- Improved local rank to top 3 in Google search for over 25 locations
- Improved form submission & phone call rate by 22%
20%
Increase in leads YOY
A full-scale digital strategy, including a website redesign, location-based SEO optimization, and targeted PPC campaigns, led to a significant rise in lead volume. By improving search visibility and user experience, more families were able to find and connect with Cultivate’s services.
25%
Reduced Average Cost per lead
Through improved ad targeting and strategic bidding adjustments, we reduced the average cost per lead while increasing lead quality. This resulted in a more efficient use of ad spend and a higher ROI for Cultivate.
Top 3
In Google search results for over 25 locations
With an optimized local SEO strategy and content-rich location pages, Cultivate earned top search rankings in over 25 key markets. This increased their visibility, driving more organic traffic and making it easier for potential clients to find the nearest clinic.