During their early years, children with autism may not meet the same communication and language milestones as their peers (Wodka et al., 2013). Many children with autism experience language delays and may rely on one-word or phrase speech, rather than using grammatically fluent speech (Anderson et al., 2007; Wodka et al., 2013) that is often present in typical language development. In addition, 20% to 30% of children with autism may continue to be minimally vocal and may require the use of augmentative and alternative communication (AAC) systems (Anderson et al., 2007; Wodka et al., 2013). Recent intervention protocols, such as naturalistic developmental behavioral interventions (NDBIs), have begun aligning communication intervention practices for those with autism with the typical trajectory of language development. NDBIs refer to evidence-based interventions for young children with autism and other developmental disabilities that combine developmental and behavioral sciences to enact a natural approach to early intervention, resulting in increases in early communication and language skills (Bruinsma et al., 2020; Dubin & Lieberman-Betz, 2020; Sandbank et al., 2020; Schreibman et al., 2015). This article discusses how NDBI strategies can be used before and after the child communicates to expand the communicative repertoire of those with autism by first creating communication opportunities, next prompting or encouraging child communication (if needed), and finally responding to child communication.