We scored 150 US ABA clinic websites on six things a family can check without picking up the phone. Not one passed all six. Public pages only, 48 states, collected in July. Here is what the category looks like from the outside. Thread.

AI citations are earned on a cycle. Our companion study found only 1 in 3 survive a month and 60 percent never appear in Google's organic top 20. Build a refresh cadence and monitor by engine.

You do not need a giant domain to win AI citations. How a page is built predicts citation 71 percent of the time; site size adds only 4 points. Build the page right and compete up.

Citation rate by content type: reference 75 percent, editorial 58 percent, landing and service 25 percent, forums 8 percent. The format you publish in changes your odds before you write a word.

One finding that reframes E-E-A-T: author bylines and credentials had zero measurable effect on whether AI cited a page. AI selects on how content is built. Brand-level signals like Wikipedia, structured data, and earned media are where the authority lives.