I'm Sarah Burby, the founder of Small Changes Health, Wellness, and Nutrition Coaching. I have a Masters Degree in Applied Psychology, I am a Board Certified Behavior Analyst (BCBA), a certified Health Coach through The American Council on Exercise (ACE), and a certified Precision Nutrition (PN) Level 1 Coach. 


I have been passionate about health and wellness for as long as I can remember. I grew up actively involved in various sports and played soccer throughout college. Unfortunately, while attending graduate school I found my own health and wellness begin to slip.  My days started early at work and ended late  in the evening after classes. My weekends were spent studying, I was not exercising, I was constantly stressed, and I just did not feel like "me."


The more I learned about Applied Behavior Analysis (ABA), a science that focuses on targeting socially significant behavior, the more I realized I could apply the principles to my own life! I have been using the science of ABA to help myself reach my health and wellness goals since 2011 and over the past year and a half  have also placed a heavy focus on Acceptance and Commitment Therapy (ACT). 


In 2020, after finishing several health and wellness certifications, I decided to finally take the leap and open Small Changes as a way to help others reach their health and wellness goals.


My biggest message to client's past, present, and future is that long-term behavior change is not very glamorous. It's not a "30 day fix," a magic pill, or a one size fits all approach. While it may be tempting to try the heavily marked "easy" solution products, doing so will often leave you with less money in your pocket and right back at square one.  Long-term behavior change is hard. It requires dedication and small, consistent actions, each and every day. My job is to give you the tools you need to make the most manageable, systematic changes that align with your values and lifestyle.




ABA is the science in which the principles of the analysis of behavior are applied systematically to improve socially significant behavior. Here at Small Changes we utilize several behavior analytic interventions including: task clarification, goal-setting, self-monitoring, accountability, feedback, behavioral skills training, and contingency management to ensure you meet your goals.

We also utilize Acceptance and Commitment Therapy (ACT) throughout our coaching sessions. ACT is a psychological intervention that uses acceptance and mindfulness strategies, together with commitment and behavior change strategies, to increase psychological flexibility. Psychological flexibility means contacting the present moment fully as a conscious human being, and based on what the situation affords, changing or persisting in behavior in the service of chosen values.



We base all of our coaching sessions and decisions on data rather then just guessing why something does or does not work. We also pride ourselves in helping your reach your health and wellness goals by providing you with practical guidance you can use for the rest of your life. We want to provide you with the tools you will need to be successful and maintain your health and wellness goals over time.