Get Aba Request For Application California - Valueoptions
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How to fill out the ABA Request For Application California - ValueOptions online
Filling out the ABA Request For Application is a crucial step for individuals and organizations seeking to join the ValueOptions network. This guide provides clear, step-by-step instructions to help you navigate each section of the form online with confidence.
Follow the steps to complete your application effectively.
- Press the ‘Get Form’ button to access the application form and open it in the document management system.
- Begin by filling out the Provider Information section. Here, indicate whether you are an individual or group BCBA provider. Provide your practice name, address, phone number, and email. Ensure you answer whether treatment is provided at your private home residence.
- In the Provider Identification Information section, enter your Tax Identification Number (TIN), certification numbers, National Provider Identifier (NPI) number, and additional personal information required, such as your date of birth and liability insurance details.
- Complete the Specialty Requirements. Confirm your qualification as a Board Certified Behavior Analyst with the relevant experience and certifications. This section may require you to provide additional information specific to your qualifications.
- Fill out the Areas of Clinical Expertise section by indicating the populations you serve and your experience with applied behavior analysis training, specifying the age groups and types of services provided.
- In the maximum service travel range section, specify the distance you are willing to travel from your primary service location to the recipient's location.
- Review the attestation requirement, confirming that all information provided is accurate and that you agree to the terms outlined in the application.
- Once all sections are complete, save your changes, and download the document. Be sure to print and sign where indicated, as electronic signatures are not accepted.
- Finally, submit your completed application by emailing it to californiaservicecenter@valueoptions.com or fax it to 714-763-2524.
Begin your application process online today to take a step towards joining the ValueOptions network.
'Applied' in ABA refers to the practical application of behavioral principles to real-life situations. This involves using evidence-based interventions to address significant behavioral issues and improve the quality of life for individuals. The focus is on applying learned skills in everyday environments, making the therapy practical and relevant. For details about the ABA request for application California - ValueOptions, you can find supportive resources online.
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