Board Information
Consumer Information
Licensee Information
Related Information
Get Behavior Analyst News
General Inquiries
Behavior Analyst Advisory Board
3605 Missouri Boulevard
P.O. Box 1335
Jefferson City, MO 65102-1335
573.526.5804 Telephone
573.526.0661 Fax
800.735.2966 TTY
800.735.2466 Voice Relay
ba@pr.mo.gov
https://pr.mo.gov/ba.asp
3605 Missouri Boulevard
P.O. Box 1335
Jefferson City, MO 65102-1335
573.526.5804 Telephone
573.526.0661 Fax
800.735.2966 TTY
800.735.2466 Voice Relay
ba@pr.mo.gov
https://pr.mo.gov/ba.asp
BA/Provisional BA forms
Application Instructions for Behavior Analysts or Provisional Behavior Analysts
Application for Licensure as a Behavior Analyst or Provisional Behavior Analyst (375-1143)
Social Security Number Disclosure Notice (375-0823)
Verification of Licensure (375-0827)
Proof of Supervision (375-1137)
Applicant Release (375-1134)
Request for Extension of Provisional License (375-1136)
Change in Supervisor or Setting of Supervised Licensee (375-1146)