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Agency $175Family – 1 Year $35Family – 3 Year $100Family/Professional – 1 Year $80Family/Professional – 3 Year $200Professional – 1 Year $80Family/Professional – 3 Year $200Student $35
YesNo
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Behavioral Consultation / IndividualFacilitation / Crisis InterventionEarly ChildhoodFamilyFamily MemberFamily ProfessionalHigher EducationHuman ServicesIndependent / Residential / FamilyProfessional Living SupportK-12 EducationMental Health / Substance Abuse / DualDiagnosisStudent (K-12/Undergraduate/ Graduate)Transition Planning / EmploymentStudentConsumerOther
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Human ServicesEarly ChildhoodK-12 EducationFamily ProfessionalStudent (K-12/Undergraduate/ Graduate)Higher EducationFamily MemberBehavioral Consultation / IndividualFacilitation / Crisis InterventionIndependent / Residential / Family Professional Living SupportMental Health / Substance Abuse / Dual DiagnosisFamilyTransition Planning / EmploymentConsumerIndependent / Residential / Family Professional Living SupportElder Care / DementiaOther
Community/Agency PBSProgram-wide PBS (Early Childhood)Facility-wide PBS (JJ/Residential)School-wide PBSClass-wide PBSFamily-wide PBSProgram-wide PBSFamily PBSFamily PBS-wide PBS (JJ/Residential)Program-wide PBS (Early Childhood)Other
Universal prevention & promotion (Tier 1)Targeted services & supports (Tier 2)Individual/intensive services & supports (Tier 3)ResearchTraining/PDIndividual-intensive services & supports (Tier 3)Other
AutismTBIIDD (Intellectual and Developmental Disabilities)Populations receiving services & supports from juvenile justicePopulations receiving mental health supportsPopulations receiving service and supports from child welfarePopulations receiving service and supports from drug and alcohol programsAges 0-5 (PK)Ages 6-21 (K-12 School Age)Ages 22-64Ages 65 and above (senior care)General/Broader PopulationsSpecific disabilityPopulations receiving services and supports from drug and alcohol programsPopulations receiving service & supports from child welfareOther
Behavior AnalystPsychologistSchool PsychologistSocial WorkerSchool CounselorMental Health CounselorSpeech PathologistEducator: TeacherEducator: ParaeducatorEducator: AdministratorAgency: AdministratorAgency: Direct Support ProfessionalAgency: Program ManagerMental Health ProviderState/District LeaderOther
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