Request Services: Applied Behavior Analysis (ABA therapy), Autism Specialist, Behavior Intervention Therapy, Verbal Behavior (ABLLS and VBMAPP)

WHO IS ELIGIBLE FOR OUR SERVICES?

 

  • We serve children 0-21 years old with AUTISM diagnosis. We need a doctor’s prescription with the written diagnosis and recommending ABA services.
  • We work on extinguishing problem behaviors such as: physical aggression, verbal aggression, stereotypy behaviors (motor and vocal), Self-Injury Behavior, tantrum, property destruction, invading personal space, inappropriate social approach, food refusal, toilet accidents, task refusal, and more.
  • We work on developing academic, functional communication, compliance (follow instructions), transitioning, interacting play, independent plan, and independent living skills such as (showering, dressing, grooming, toileting, eating, house chores, self regulation and more)

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APPLY FOR SERIVICES

CHILD'S INFORMATION:


Diagnosis Document:

Doctor's Prescription:

PARENT'S OR LEGAL GUARDIAN'S INFORMATION:


Parent/Guardian 1:


Driver License Picture

Parent/Guardian 2:


Driver License Picture


INSURANCE INFORMATION:

PRIMARY INSURANCE:

Front and back of insurance card

SECONDARY INSURANCE:

Front and back of insurance card

DOCTORS INFORMATION:

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ABA Center

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