The high prevalence rate of autism and need for service delivery is reported from many developing countries (Grinker 2007; Wong & Hui, 2007). Effective treatment methodologies are primarily published in English and autism professionals are trained predominately in North America. There are many North American professionals traveling to developing countries to promote effective interventions and influence the field of autism service delivery. Application of evidence-based practices within diverse cultures, language/translation barriers and maintenance of skills and behaviors with itinerant models of consultation are just a few of the considerations that professionals must consider when working in cultures outside of their own. The panelists for this presentation have been providing itinerant consultation in Asia, Africa, Latin America, and the Middle East for several years. The panelists will share lessons learned and protocols for increasing effectiveness when providing itinerant consultation in developing countries. Practical considerations of international work will be described. The audience will be invited to engage in discourse to promote increased access to quality intervention for those living with autism, regardless of geography.