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The purpose of this mixed-methods study was to explore the perceived barriers preventing Black families from accessing (completing the intake process) and utilizing (following through with the support) early intervention services. Parental, medical, and educational professionals’ perceptions of the barriers were measured using the Barriers to Access and Utilize Early Childhood Intervention Services Inventory and supported with interviews from parental and professional views to capture the narrative about their experience’s families encounter accessing and utilizing ECI services. Findings revealed there is a statistical significance on access to services based on families’ perceptions of the encountered barriers.