TRUSTED TEAM WITH 20+ YEARS EXPERIENCE
We’re a team of medical billing experts led by Ralph Pampino & Patrick Holmes who manage the Revenue Cycle so you can concentrate on your patients and the care you are providing. Our diverse team has years of experience in the fields of Behavior Analysis, Medical Billing, Practice Management and Business analysis
RALPH PAMPINO

BCBA / CEO
- Ralph is a Board Certified Behavior Analyst (BCBA) with more than fifteen years of experience in the fields of Applied Behavior Analysis, Special Education and teaching children on the Autism Spectrum.
- Ralph has extensive experience in ABA Therapy, educational consulting, social and academic home programming, parent and staff training, the development process improvement plans for individuals and organizations.
PATRICK HOLMES

CHIEF COMPLIANCE OFFICER
- Patrick brings 15 years of business, legal and financial management experience to Operant.
- Patrick has advised both public and private companies on complicated legal matters in the context of both federal and state regulatory frameworks
- Patrick has developed a broad-based knowledge of issues that arise in business transactions, specifically those pertaining to the management and finance elements that determine business viability.
LET’S WORK TOGETHER
CALL US TODAY AT (253)-328-4597
Monday – Friday 9am-5pm Pacific Time