Early Adopter
Please fill out the following form to help us understand your ABA practice needs.
1. Practice & Contact Information
Practice Name:
Practice Owner or Main Contact Person:
Email Address:
Phone Number:
Location(s) of Service (City, State):
Time Zone:
2. Provider Information
Total number of BCBAs, and BTs:
Do you provide home-based, clinic-based, or telehealth services?
Average Weekly Billable hours?
3. Additional Notes
Please share any specific challenges, compliance concerns, or goals you have for your ABA billing and credentialing support: