Services | Behavioral Health Therapies

Services Provided

Functional Assessments
In-home and community based Treatments
Workshops
Behavior Assistant Services
Verbal Behavior Programs
Toilet Training Programs
IEP Support
Functional Daily Living skills Programs
Social Skills/Peer Play groups
Clinic Services
Registered Behavior Technician Training

Getting Started

Parent/Guardian information (Please list information for each parent)

Parent/Guardian Name (Last, Middle, First) *

Parent/Guardian email address *

Parent/Guardian Phone Number *

Physical Address (Streetaddress/City/State/Zip) *

Marital Status *

Married

Unmarried

Parent/Guardian Name (Last, Middle, First)

Parent/Guardian email address

Parent/Guardian Phone Number *

Physical Address (Street address/City/State/Zip)

Child’s Name (Last, Middle, First)

Child’s Date of Birth

Child’s Physical Address (Street address/City/State/Zip)

Has the child previously been diagnosis?

Has child had previous ABA Therapy? If so, provider name and number

Primary language of family/ Secondary language of family (if applicable)

Need Translator Yes/No

Insured’s information

Name of Insurance Company *

Name of Policy Holder *

Date of Birth of Policy Holder *

Member ID *

Member Group ID

Insurance Address *

Insurance Phone Number *

Funding Sources

Medicaid
Med-Waiver

Insurance

Aetna
United Health Care

Optium

Cigna
CMS
Tricare
BlueCross Blue Shield
APD Cares
Humana
Well Care

Private Pay

If you need financial assistance, we can help. Contact our office for information. BHT provides free parent training, and referrals to other free or low-cost services.

CDC+

What To Expect

Functional Assessments
In-Home and Community-Based Consultations
Workshops
Behavior Assistant Services