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This study was to examine the effectiveness of pivotal response treatment (PRT) on social behaviors of Korean-American children with autism in their community settings. Additionally, the study was to analyze stakeholders’ perceptions regarding satisfaction and feasibility. A mixed methods design was employed, including a single-subject design to evaluate the efficacy of the PRT and a qualitative case study to explain how stakeholders perceived the intervention in terms of its goal setting, procedures, and social behavior changes. Results indicated that peer-mediated PRT effectively increased the social interactions between the children with autism and their peers. Additional findings implied that stakeholders were satisfied with the intervention, particularly for the intervention’s flexibility and applicability as well as children’s natural social experiences with peers.