Enroll Your Child in Personalized ABA Therapy

Our intake process is unique in that we place children based on their individual characteristics in order to create the best fit.  The process is not first come, first serve.  Once an appropriate placement is determined, we will contact you to schedule an Initial Assessment.

Initial Intake Questionnaire

ABA Therapy Request

  • Child

  • Please upload a copy of your child's diagnostic report.
    Drop files here or
  • Parent/Guardian

  • Insurance Information

  • Please upload a picture of the front and back of your insurance card.
    Drop files here or
  • Is there anything specific you want us to know?