Benefits of inclusive education for students with extensive and pervasive support needs (ESN) have been documented over the past several decades. However, simply placing students with ESN in general education settings does not constitute inclusion, nor does this necessarily result in positive outcomes for students. This study utilizes ecobehavioral analysis to provide an understanding of the characteristics of general education academic classes that include students with ESN and explores differences in characteristics between different schooling levels and students with and without complex communication needs. Findings indicate inclusive placements for students with ESN provide an engaging academic environment with adaptations to access content and low levels of distractions. Implications for practice, future research, and policy are discussed.