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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
ABA/Provisional ABA forms
Application Instructions for Assistant Behavior Analysts or Provisional Assistant Behavior Analysts
Application for Licensure as an Assistant Behavior Analyst or Provisional Assistant Behavior Analyst (375-1144)
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)