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  • Boards/Commissions
    Boards/CommissionsApplied Behavior AnalysisAssistive Technology (AT) CouncilCommission on Aging (COA)Commission on Autism Spectrum Disorders (ASD)Commission on Service for Persons with Disabilities (CSPD)Statewide Independent Living Council (SILC)Task Force on Alzheimer's Disease (TFAD)Nevada Commission for Persons Who Are Deaf, Hard of Hearing or Speech ImpairedPalliative Care Council
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  • Contact
    ContactAging and Disability ServicesDevelopmental ServicesEarly Intervention ServicesPublic Records RequestReport suspected abuse, neglect, exploitation, isolation or abandonment of vulnerable adults 18 years or older
  • Report Abuse
    Report AbuseReport Abuse of a Child Age 0-18Report suspected abandonment, abuse, neglect, exploitation or isolation for vulnerable adults 18 years and older
  • Home
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    • State of Nevada Website
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    • Awards and Recognitions
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    • Persons with Autism Spectrum Disorder
      • Aging and Disability Resource Center (ADRC)
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      • Aging and Disability Resource Center (ADRC)
    • Programs for Persons with Intellectual Disabilities and Related Conditions
      • Aging and Disability Resource Center (ADRC)
      • Behavioral Consultation
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      • Able Nevada
      • Aging and Disability Resource Center (ADRC)
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      • Taxi Assistance Program (TAP)
      • Traumatic Brain Injury (TBI) Program
    • Programs for Seniors
      • Advocate for Elders
      • Aging and Disability Resource Centers - ADRC
      • Communication Access Services (CAS)
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      • Homemaker Program
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      • Senior Medicare Patrol (SMP)
      • State Pharmacy Assistance Program (SPAP) - Senior Rx
      • State Health Insurance Assistance Program (SHIP)
      • Taxi Assistance Program (TAP)
  • Boards/Commissions
    • Applied Behavior Analysis
    • Assistive Technology (AT) Council
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    • Commission on Aging (COA)
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        • Olmstead/Strategic Planning Subcommittee
      • Subcommittee on Legislative Issues
      • Subcommittee on Nevada Revised Statute 439
    • Commission on Autism Spectrum Disorders (ASD)
      • Funding and Insurance Subcommittee
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    • Commission on Service for Persons with Disabilities (CSPD)
      • Agendas & Meeting Minutes
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      • Subcommittee on Nevada Revised Statute 439
      • Subcommittee Regarding Nominations
    • Statewide Independent Living Council (SILC)
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    • Palliative Care Council
  • Providers
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      • Aging Services
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    • Glossary of Terms
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  • Contact
    • Aging and Disability Services
    • Developmental Services
    • Early Intervention Services
    • Public Records Request
    • Report suspected abuse, neglect, exploitation, isolation or abandonment of vulnerable adults 18 years or older
  • Report Abuse
    • Report Abuse of a Child Age 0-18
    • Report suspected abandonment, abuse, neglect, exploitation or isolation for vulnerable adults 18 years and older

ABA Forms

Registered Behavior Technician Renewal

Registered Behavior Technician Renewal Letter
Registered Behavior Technician Renewal Form

Licensed Behavior Analyst & Licensed Assistant Behavior Analyst Renewal

Licensed Behavior Analyst & Licensed Assistant Behavior Analyst Renewal Letter
Licensed Behavior Analyst & Licensed Assistant Behavior Analyst Renewal Form
Licensed Behavior Analyst & Licensed Assistant Behavior Analyst Continuing Education Log for Renewal

Instructions

Behavioral Analyst & Assistant Behavior Analyst Application Instructions

Behavior Analyst

LBA Application
Electronic Signature Acklowledgement and Consent
Character References
Release of Information
Fingerprint Waiver

Assistant Behavior Analyst

LaBA Application
Electronic Signature Acklowledgement and Consent
Character Reference
Supervisor Qualifications (LaBA only)
Release of Information
Fingerprint Waiver

Registered Behavior Technician

RBT Application
Electronic Signature Acklowledgement and Consent
Release of Information
Fingerprint Waiver

Miscellaneous Forms

Candidate Guide 2019
Change of Name or Address Form
License by Endorsement (OUT OF STATE CREDENTIAL)

Fees

Fees

Complaints

Consumer Complaint Form
Consumer Complaint Release Form
Home
Department of Health and Human ServicesState of Nevada Website
About
Awards and RecognitionsBudget InformationExecutive StaffFeedback FormGovernanceMission StatementNotice of Privacy PracticesReports
Programs
Notices of Funding OpportunitiesPersons with Autism Spectrum DisorderPrograms for Infants and Toddlers with DisabilitiesPrograms for Persons with Intellectual Disabilities and Related ConditionsPrograms for Persons with Physical Disabilities and Related ConditionsPrograms for Seniors
Boards/Commissions
Applied Behavior AnalysisAssistive Technology (AT) CouncilCommission on Aging (COA)Commission on Autism Spectrum Disorders (ASD)Commission on Service for Persons with Disabilities (CSPD)Statewide Independent Living Council (SILC)Task Force on Alzheimer's Disease (TFAD)Nevada Commission for Persons Who Are Deaf, Hard of Hearing or Speech ImpairedPalliative Care Council
Providers
CBC ProvidersProvider Rates
Meetings
Boards & Commissions
Resources
Glossary of TermsGlossarySubrecipient ResourcesListserv
Contact
Aging and Disability ServicesDevelopmental ServicesEarly Intervention ServicesPublic Records RequestReport suspected abuse, neglect, exploitation, isolation or abandonment of vulnerable adults 18 years or older
Report Abuse
Report Abuse of a Child Age 0-18Report suspected abandonment, abuse, neglect, exploitation or isolation for vulnerable adults 18 years and older
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