Rebecca Frederick

About Rebecca Frederick

I built From Chaos Consulting because I watched too many practice owners get taken advantage of by people who promised comprehensive operations support and couldn’t deliver half of it.I’m not a staffing agency. I’m not a generic consultant. I’m a fractional COO and operations team — embedded inside your organization, under your brand, running the pieces you don’t have time for.HR. Talent acquisition. Billing operations. Client care. People infrastructure. All of it. Actually done.I started as an RBT. I know what it looks like when a clinician is buried in admin work that has nothing to do with why they got into this field. I’ve operated across nine states, built practices from the ground up, and seen what happens when owners don’t have the right infrastructure behind them.So I built something different.When you work with From Chaos, you get a real operations team without the overhead of a full one. You get an exit plan from day one, every process documented, every system yours. No dependency on me you didn’t plan for. No guessing.I don’t sell on calls. I listen, I send a proposal, and I step back. You want it or you don’t. I’m not going anywhere.I’m here for the small practices. The ones doing everything right clinically who just need someone to finally have their back on the ops side.The good guys deserve a real shot at this. Fractional capacity available

Experience

1. Assistant Director of Operations

   Ezcare Aba

   Feb 2026 — Present · Richmond, VA, US

   Leading operational systems and team development for fast-growing ABA therapy practice.Originally brought on to build foundational operational infrastructure. Successfully established:• Complete client intake and onboarding systems• RBT hiring, training, and onboarding programs• Service delivery workflows and scheduling optimization• Team communication protocols and documentation standards• Operational reporting and capacity planningResults in first 5 months:• 800% client base growth• 230% team expansion• Established scalable operational foundationCurrent focus:• Supporting day-to-day operational execution• Team development and training• System optimization and continuous improvement• Transition planning as we bring on dedicated Operations Manager

Education

• Rasmussen University

  Medical Assisting Diploma, Health Services/Allied Health/Health Sciences, General

  2018 — 2019