Our Team

Genesis TMS works with a variety of professionals, such as psychiatrists and medical doctors, to help with the enhancement of TMS treatments.

Dr. Romena Kiryakous

Dr. Romena Kiryakous, PsyD

President & Chief Executive Officer (CEO)
Dr. Romena Kiryakous, PsyD, is the driving force behind Genesis Behavior Center Inc., a groundbreaking clinic that focuses on helping children with their behavior. She’s committed to assisting children with various needs, including those who have complex diagnoses.

Dr. Kiryakous has been leading the clinic for more than 20 years and has helped create many success stories and positive results. Her education includes a master’s degree in psychology, as well as both a PhD and a Doctor of Psychology.

These qualifications were carefully developed to handle the challenges of working with complex cases in children. Leading the way in innovation, Dr. Kiryakous is the visionary behind FirstPath Inc., an all-encompassing behavioral health software designed with care to fulfill the needs of organizations focused on helping clients with behavioral developmental conditions. Alongside her position as CEO of Genesis Behavior Centers, she actively engages in collaborative endeavors.

Dr. Sandra Cox.

Dr. Sandra Cox, MD, Psychiatrist

Chief Medical Officer (CMO)
Dr. Sandra Cox, MD, board certified Psychiatrist known for her compassionate and collaborative approach to mental health care. She specializes in treating a broad spectrum of psychiatric conditions, including depression, anxiety, obsessive-compulsive disorder (OCD), bipolar disorder, and post-traumatic stress disorder (PTSD) and other.

Dr. Cox is deeply committed to understanding each patient’s unique story and tailoring treatment plans that reflect both clinical expertise and personal insight. She creates a safe and supportive space where patients feel genuinely heard and respected, and she places strong value on open dialogue and shared decision-making. Her inclusive practice is especially attuned to the needs of the LGBTQ community, ensuring care that is both empathetic and affirming.
Dr. Cox has extensive experience treating a wide range of psychiatric conditions, including:

  • Depression
  • Bipolar Disorder
  • Anxiety Disorders
  • Obsessive-Compulsive Disorder (OCD)
  • Post-Traumatic Stress Disorder (PTSD)
  • Gender Dysphoria

She emphasizes a holistic approach to mental health, integrating lifestyle modifications such as exercise, nutrition, mindfulness, and sleep hygiene into her treatment plans. Dr. Cox values a collaborative relationship with her patients, ensuring they feel heard and understood, and she is particularly attuned to the unique challenges faced by the LGBTQ community

Dr. Sandra Cox.

Dr. Megan Khalaf, PsyD

Chief Behavioral Science & Research Officer (CBSRO)

Dr. Khalaf leads research and innovation at the intersection of behavioral science, psychology, and neuroscience.

As Chief Behavioral Science & Research Officer, Dr. Megan Khalaf advances the scientific foundation of FirstPath. She directs behavioral and clinical research, develops advanced training programs, and ensures that every service is grounded in measurable outcomes and current psychological science.
Dr. Khalaf bridges research with real-world care empowering clinicians, Psychiatrists, and families with evidence-based strategies that transform lives.

Dr. Romena Kiryakous

Linda Mikha, JD

President, FirstPath, Inc.
Chief Operating Officer, Genesis Behavior Center, Inc.

Linda Mikha brings precision, strategy, and integrity to every facet of leadership. As President of FirstPath, Inc. and Chief Operating Officer of Genesis Behavior Center, Inc., she provides dynamic executive guidance that unites strategic vision with operational execution across both organizations.
At FirstPath, Inc., Linda oversees the organization’s operational infrastructure, ensuring that all systems, workflows, and administrative processes function with efficiency and consistency. With a Juris Doctor degree and extensive experience managing organizational contracts and regulatory matters, she leads the development and refinement of operational processes that support the clinical and administrative teams. Her work ensures that FirstPath’s internal systems run smoothly and remain compliant, scalable, and aligned with organizational goals.
At Genesis Behavior Center, Inc., Linda ensures seamless day-to-day operations by overseeing program workflow, compliance, and organizational structure. She manages all contracts, strengthens operational systems, and enhances cross-department coordination to support high-quality service delivery. Her leadership maintains operational stability and ensures that Genesis functions efficiently and in alignment with best-practice standards.
Her leadership connects both organizations through a shared commitment to operational excellence, ethical practice, and compassionate service. By building and maintaining strong systems, Linda supports long-term stability, organizational growth, and meaningful community impact.
Dr. Romena Kiryakous

Jennifer Yakow, MS, Behavior Psychology

President, Genesis Behavior Center, Inc.

Jennifer brings financial leadership, strategic clarity, and long-term vision to Genesis Behavior Center, Inc. As President, she guides the organization’s overall growth by ensuring financial stability, responsible expansion, and sustainable planning for the future. She oversees financial operations, budgeting, and resource allocation, making certain that Genesis remains strong, efficient, and well-positioned to meet the needs of the communities it serves. Jennifer’s forward-thinking approach supports the organization’s long-term goals, strengthens operational decision-making, and ensures that Genesis continues to grow with integrity and purpose. Through her stewardship, Genesis maintains a solid foundation capable of supporting high-quality services well into the future.
Dr. Romena Kiryakous

Jacob Yakow

Chief Financial Officer (CFO)

Jacob ensures the financial health of FirstPath, aligning strategic growth with fiscal responsibility and innovation.

As Chief Financial Officer, Jacob Yakow directs all financial operations, including budgeting, reporting, and long-term planning. He ensures financial sustainability as FirstPath expands access to autism, psychological, and psychiatric services, including TMS-based treatments.
Through disciplined oversight, Jacob enables the organization to innovate responsibly and grow with stability.

Dr. Romena Kiryakous

Carlos Pereira, MBA

Director of FirstPath, Inc. Software & Human Resource Director

As the Director of FirstPath Software, Carlos oversees daily operations to ensure efficiency, accuracy, and compliance across all users. He coordinates training, monitors workflow requirements, and ensures every agenda item is met with precision. With a focus on reliability, collaboration, and innovation, Carlos bridges technology and team performance making FirstPath a trusted, high-performing platform that supports excellence in care and data integrity.

 

Dr. Romena Kiryakous

Nancy Jimenez, M.S.

Corporate Complaiance Director & Director of Clinical Training & Development
Nancy advances clinical excellence through professional education, mentorship, and performance growth.

As Director of Clinical Training & Development, Nancy Jimenez designs comprehensive education systems that elevate the competence and confidence of every clinician, therapist, and technician. Her work ensures FirstPath’s team remains on the cutting edge of behavioral, psychological, and neurotherapeutic practice.

Dr. Romena Kiryakous

Gagan Murghai

Chief Behavioral Innovation Officer (CBIO)

Gagan unites behavioral science and technology to drive progress in therapy outcomes and patient engagement.

As Chief Behavioral Innovation Officer, Gagan leads the design and implementation of digital systems and applied research that enhance the effectiveness of behavioral and psychological care. His leadership ensures FirstPath continues to evolve as a data-driven, tech-forward organization that leverages innovation to improve patient outcomes.

Our Strength. Our Team

Genesis TMS Icon

Jessica Caballero

Human Resource Assistant

Carlos Pereira

Vanessa Haro

Human Resource Assistant

Maria Valdovinos

Maria Valdovinos

TMS Technician