I found speech therapy yay

Depending on his skills there are some companies that do speech therapy remotely...

He goes to school and has ABA and nobody in the school or anybody around Utah knows of any OT speech that come to the home so I guess I'll he will get is Aba that's so messed up

I think the best chance you would have of improving speech/language and fine motor and processing in home setting would be finding a good ABA company:therapist... there are some OTs that I have seen that do in home, but generally for adults or children under 3... asking your district parent resource center, special education pta (SEPTA), special education advisory committee (seac) or disability resource center, you should be able get more local options

Oh I had aba in home and Medicaid paid