Thank you for your interest in Applied Behavior Analysis (ABA) services provided by Become, Behavioral & Educational Services & Training, LLC. Please complete the enclosed Enrollment Application. The information provided will be utilized to design the BEST intake assessment and treatment possible. Please provide any additional information you feel would be useful in understanding more about your child. Once received, all information will be promptly reviewed and processed. You will be contacted shortly thereafter to discuss the process for getting started with ABA services. Completing this application does not ensure acceptance into Become BEST for services, however, if your child is accepted into the program, they will spend a 3-4 week period where strengths and need areas are identified, interventions are tested, and positive relationships are built to establish successful treatment.

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When you have gathered and completed the documents, you can return them, together with a copy of your card(s), front and back, via fax (712)-525-0036 or email: admin@becomeaba.com. Please include copies of any relevant medical records, such as all autism spectrum disorder diagnostic paperwork and medical scripts for ABA services.  If you have copies of other evaluation reports, behavior plans, IEP’s, etc. from the school district or other service providers, be sure to include them as well. Please feel free to call or text 712-746-7447 if you have any questions.

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A complete application must include the following:  Enrollment Application  Insurance Coverage Information  Copy of Front/Back of Insurance Card(s)  Copy of Diagnostic Report/Referral for ABA Services  Authorization(s) of Release/Request for Information Thank you again for your interest in ABA services.  We look forward to working with you.