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Now Hiring Behavior Technicians and BCBAs!
1740 Chapel Hills Drive
Colorado Springs, CO 80920

Phone: 719.465.3695
Fax: 719.465.3914
Accepting
TRICARE, Aetna, Cigna, Medicaid,
United &
Anthem BCBS


English
English
Español
Click the menu to view our site in Spanish.
Intake documents
Please click the buttons below to provide the required information. Once each field is complete, select "Click to Sign" to submit the form. From there an email verification will be sent to you, and once verified, you will receive a copy of the completed form. You may use the "Attachments" button for any current diagnostic evaluations, IEP's, or other relevant information.

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