Board Actions - Since 1998

NOTE: Some Board actions may not appear until a few weeks after they are taken due to appeals, effective dates and other administrative processes. Pursuant to A.R.S. § 32-3214(C), a person may obtain additional public records related to any licensee, including dismissed complaints and nondisciplinary actions and orders, by contacting the Board directly.

Name	License #	Docket Number	Complaint Type/Description	Description of Resolution
Allender, James R., Ph.D.	1140	2000-020	Misdemeanor conviction involving moral turpitude	Decree of Censure 02/02/2001. Affirmed on appeal in Superior Court 3/25/2002 and in Court of Appeals 1/21/2003.
Anderson, Thomas R., Psy.D.	3770	2005-054	Unprofessional Conduct	Consent Agreement - Decree of Censure 12/20/2005.
Arnett, William, W., Jr., Psy.D.	3490	2015-31	Unprofessional Conduct	Consent Agreement for 12 months probation, twice-monthly meetings with a BHP/supervisor, and other terms. Effective 04/29/16; Terms completed 06/02/2017.
Artiola, Lidia, Ph.D.	1065	2000-001	Failure to maintain adequate records and failure to release client records	Decree of Censure 06/12/2000
Autry, Kristine, Ed.D.	3748	2016-49	Unprofessional Conduct	Decree of Censure 04/24/2017
Axsom, Don, Psy.D.	PSY-004676	2017-09	Unprofessional Conduct	Consent Agreement and Order for Probation and Continuing Education effective June 21, 2018 View Consent Agreement and Order Released from Consent Agreement and Order for Probation and Continuing Education effective February 14, 2019 View the Release Order
Beaver, William T., Ph.D.	925	2004-013	Records	Consent Agreement signed 10/22/2004, to complete 12 hours of continuing education and engage the services of a practice management consultant who reports to the Board. Terms completed 11/09/05.
Bennett, James W., Ed.D.	957	1998-021	Felony involving Medicare	Revocation by Consent Agreement 10/01/1998.
Biegen, David A., Ph.D.	384	2005-024	Unprofessional Conduct	Consent Agreement, Probation 5 years, supervision; psychotherapy; chaperone for all female clients; 36 hours of continuing education - 11/14/05. All terms an conditions fulfilled. Released from agreement 04/04/09.
Biegen, David A., Ph.D.	384	2011-034	Unprofessional Conduct	Decree of Censure, Effective 11/26/2012
Biggs, Patrick F., Ph.D.	3734	2006-044	Unprofessional Conduct	Consent Agreement, Decree of Censure and Restriction of License - 05/01/2007.All terms an conditions fulfilled. Released from agreement 04/04/09.
Bluth, George J., Ph.D.	3121	2014-07	Unprofessional Conduct	Consent Agreement for 12 months probation and Practice Monitor, Effective 02/23/2015; Terms completed 04/29/2016
Boyer, Clayton L., Ed.D.	176	2002-005	Failure to maintain psychological records for a minimum of 7 years	Decree of Censure 06/07/2002.
Briggs, Robert A., Ph.D.	3262	2000-017	Unprofessional Conduct	3 years probation by Consent Agreement 02/26/2001. Terms completed 02/26/2004
Brim, Sandra, Ph.D.	3205	2014-33	Unprofessional Conduct	Consent Agreement for Probation, Practice Monitor, and Continuing Education; Effective 02/05/2016; First Amended Consent Agreement; Effective 04/21/17; Second Amended Consent Agreement, Effective 07/11/17; Release from Consent Agreement and Order, Effective 10/31/17
Burkholder, Rachel , Ph.D.	133	1998-024	Unprofessional Conduct	1 year probation ended 02/25/2000.
Burkholder, Rachel , Ph.D.	133	1999-020	Custody	Decree Of Censure and Consent Agreement 02/05/2000.
Campbell, Eugene E., Ph.D.	1432	2000-011	Unprofessional Conduct	Revocation (Stayed), Probation 5 years, practice monitor, psychotherapy, Reimbursement 04/12/2001. Terms completed 4/12/2006.
Caughlin, Jennifer L., Ph.D.	1187	2005-041	Unprofessional Conduct	Consent Agreement to pay $300 civil fine. Completed - 03/07/2006.
Cherry, Eugene, Ph.D. Ph.D.	3520	2011-01	Unprofessional Conduct	RFI 2011-01, Surrender of License in Lieu of completing previously imposed disciplinary action, Effective 10/11/2012. Order for Probation, Practice Monitor, Continuing Education, and Community Service, Effective 7/16/2012.
Cohn, Michael J., Ed.D.	1219	2013-10	Commission of a Felony	Consent Agreement and Interim Order for Suspension of License, Effective 06/12/2013. Consent Agreement for Surrender of License, Effective 08/08/14
Cuddeby, Gordon W., Ph.D.	1189	2003-003	Unprofessional Conduct	Consent Agreement, $300 civil penalty -02/26/2003.
Daniel, Stephen P., Ph.D.	930	1998-020	Unprofessional Conduct	3 years probation to 04/26/2002. Terms completed 04/26/2002.
Dargon, Christine E., Ph.D.	4443	2016-50	Unprofessional Conduct	Interim Order for Suspension of License, Effective 03/01/2017 Order for Revocation effective December 12, 2017.
de Jesus, Nelson, Ph.D.	1806	2016-37	Unprofessional Conduct	Consent Agreement effective March 7, 2018 License Suspended effective April 23, 2018 View Consent Agreement
DenBoer, John, W., Ph.D.	PSY-004026	2016-39, 2016-53, 2017-23	Unprofessional Conduct	Consent Agreement and Order for Probation, Supervision and Continuing Education. Effective 10/9/2018 View Consent Agreement
Donnelly, Leslie, Ed.D.	4537	2015-15	Unprofessional Conduct	Consent Agreement for Decree of Censure; Effective 02/02/2016
Drydyk, Steven J., Ph.D.	1149	1999-019	Custody Evaluation	Consent Agreement - Completed 06/02/2000
Durham, Donald R., Ph.D.	1822	2010-029	Unprofessional Conduct	Consent Agreement and Order: The terms of this Consent Agreement and Order were satisfied on March 30, 2012.
Durham, Donald R., Ph.D.	1822	2016-012	Unprofessional Conduct	Consent Agreement for Probation, Continuing Education; and Prior Approval Before Resuming Private Practice, Effective 10/26/2016. The terms of the Consent Agreement and Order were satisfied on April 6, 2018.
Evans, Harry E., Ph.D.	317	2002-040	Unprofessional Conduct	Consent Agreement, $300 civil penalty 12/10/2002.
Fidler, Walter E., Ph.D.	1380	2001-016	Unprofessional Conduct	Decree of Censure, 3 years probation by Consent Agreement 04/09/2002. Probation terminated 02/06/2004.
Fidler, Walter E., Ph.D.	1380	2004-011	Unprofessional Conduct	Suspension for 364 days, Probation for 7 years 11/08/2004.
Fidler, Walter E., Ph.D.	1380	2004-011 2005-010	Records, Unprofessional Conduct	Revocation, 08/09/2005.
Ford, Robin, Ed.D.	1267	2002-041	Making use of statements of a character tending to deceive or mislead	Consent Agreement, Decree of Censure 02/25/2003.
Fox, Steven G., Ph.D.	1454	RFI 2014-06	Unprofessional Conduct	Decree of Censure and Order for 12 months Probation, Practice Restriction, Supervisor/Practice Monitor, Effective 02/27/2015. Released from Order effective 12/28/2015.
Garrett, Lydia B., Ph.D.	1382	2004-048	Custody Evaluation	Decree of Censure and 1 year probation 06/10/2005. Terms completed 10/13/2005.
Garrett, Lydia B., Ph.D.	1382	2011-12	Unprofessional Conduct	Order for 1 year Probation and Practice Monitor, 24 hours of Continuing Education, Effective 11/1/12012
Garrett, Lydia B., Ph.D.	1382	2012-41	Order of Revocation	Failure to comply with a Board Order, Order for Revocation, Effective 7/26/2013.
Gelber, Allan H., Ph.D.	887	2016-046	Unprofessional Conduct	Interim Order for Suspension of License, Effective 11/28/2016; Consent Agreement for the Voluntary Surrender of Psychologist License, Effective 03/30/2017
German, Michael L, Ph.D.	890	2010-33	Dual Relationship	Decree of Censure 02/14/2012
Goldfine, Debra, Ph.D.	4924	APP-16-15		Consent Agreement and Order for Probation, Supervision, Continuing Education and Rehabilitation. Effective 12/19/2017 First Amended Consent Agreement. Effective 6/21/2019 Released from Consent Agreement and Order. Effective 1/13/2020 View All Orders
Grubb, Christine P, Ph.D.	961	1998-006	Dual Relationship	2 years probation 12/08/1998. Affirmed on appeal. Terms completed 06/16/2001.
Hannel, Maria V., Ph.D.	631	2006-018	Unprofessional Conduct	Consent agreement and probation - 05/02/2007.
Hannemann, Valarie L., Ph.D.	3247	2003-028	Unprofessional Conduct	Consent Agreement: Probation - 6 hours of continuing education 05/21/2004. Terms completed 09/20/2004.
Hannemann, Valarie L., Ph.D.	3247	2006-016	Unprofessional Conduct	Consent Agreement: Probation - 12 months - 02/22/2007
Hansen, Thomas E., Ph.D.	1657	2007-012	Unprofessional Conduct	Consent Agreement, Decree of Censure 07/13/07
Hardt, Fritz A., Ph.D.	195	2003-017	Custody Evaluation	Consent Agreement effective 09/11/2003 - Cannot practice psychology, nor renew his license, Refund of fees received for services.
Harnell, William M., Ph.D.	1623	2001-046	Did not appropriately supervise the administration of the MMPI-2	Decree of Censure 06/07/2002.
Harrison, Jeffrey D., Ph.D.	909	1999-041	Sexual Misconduct	Revocation 08/21/2000.
Hassett, Irene D., Ph.D.	4030	2014-010	Voluntary Surrender of License in lieu of proceeding with formal investigation	Consent Agreement for Surrender of License 07/14/2014
Heisler, Jay R., Ph.D.	3602	2004-025	Unprofessional Conduct	Consent Agreement, Decree of Censure 08/18/2004.
Heisler, Jay R., Ph.D.	3602	2006-003	Disciplinary action in another state	Consent Agreement: Cannot practice psychology in Arizona under his current license, nor renew his license, nor reapply for licensure in Arizona for ten years - 05/01/2006.
Henderson, Steven W., Ph.D.	3250	2005-040	Felony Conviction	Consent agreement for revocation of license - 10/11/2006.
Hodgson, Jean, Ed.D.	3123	2009-039	Order of Revocation	Failure to maintain and retain adequate business records, and failure to comply with a Board order, Order for Revocation, Effective 8/8/2013.
Holtzman, Wayne H., Ph.D.	1870	2014-020	Voluntary Surrender of License in lieu of proceeding with formal investigation	Consent Agreement, effective 10/09/14, with Surrender of License effective upon the 10th calendar day following the Consent Agreement effective date.
Hughes, Deborah, Psy.D.	4381	2015-039	Unprofessional Conduct	Interim Order for Suspension of License, Effective 11/09/2015, 5:00 p.m.; Consent Agreement for Voluntary Surrender of License, Effective 05/02/16.
Jenkins, Charles G., Ph.D.	398	1997-016	Unprofessional Conduct	Decree of Censure 01/02/1998.
Jenkins, Charles G., Ph.D.	398	1999-044	Insurance Irregularities	Suspension of license and probation, 5 years 12/01/2000. Terms completed 11/16/2005.
Jenkins, Michelle, Ph.D.	2094	2002-018	Evaluation	Inactivation of license and non-disciplinary Consent Agreement to not renew her license 04/29/2003.
Johnson, Michael, Ph.D.	PSY-003462	2018-11	Unprofessional Conduct	Consent Agreement and Order for Probation, Supervision and Continuing Education effective 1/24/19 View Consent Agreement
Karcher, Frances, Ph.D.	1552	2017-06	Unprofessional Conduct	Consent Agreement for the Voluntary Surrender of Psychologist License, Effective 06/06/2017
Kaufman, Shelley, Ph.D.	PSY-001389	20-19	Unprofessional Conduct	Consent Agreement for the Voluntary Surrender of Psychologist License, Effective 12/13/2019 View Consent Agreement
Kent, John T., Ph.D.	3339	2006-003	Unprofessional Conduct	Summary Suspension on 11/14/2006. Consent Agreement and order of medical inactive status 04/09/2007.
Kieffer-Andrews, Marilyn J., Ph.D.	2066	2003-039	Unprofessional Conduct	Consent Agreement, placed on Inactive Status for cause. Cannot renew or reinstate her license to active status 08/16/2005.
Kos, Monika, Ph.D.	No-License		Denial of Application for Licensure as a Psychologist	Denied for violation of A.R.S. §32-2061(15)(c) for making or using statements of a character tending to deceive or mislead; A.R.S. §32-2061(15)(j) for making a fraudulent or untrue statement to the board or its investigators, staff or consultants and A.R.S. §32-2061(15)(m) for using fraud, misrepresentation or deception to obtain or attempt to obtain a psychology license or to pass or attempt to pass a psychology licensing examination or in assisting another person to do so.Denial effective 11/8/2017.
Kruger, Daniel E., Ph.D.	3667	2006-029	Misrepresentation of Credentials	Decree of Censure and Civil Penalty, 11/07/2006.
Lassen, Gary L., Ph.D.	692	2006-035	Unprofessional Conduct	Non-Disciplinary consent agreement to not renew his license and stipulation to dismiss with a letter of concern, 02/14/2007.
Lavit, Ronald J., Ph.D.	191	2006-030	Unprofessional Conduct	Consent Agreement for a decree of censure and $600.00 civil penalty - 10/24/2006
Lee, Young B., Ph.D.	1134	2010-011	Unprofessional Conduct	Consent Agreement for Order of Probation 1 year, effective March 8, 2011. Release from Amended Consent Agreement and Order for Probation, Effective 8/9/2013
Lesselyong, Julia, Psy.D.	4175	2016-04	Unprofessional Conduct	Consent Agreement for 12 months probation and Practice Monitor, Effective 06/14/2016
Luick, Anthony H., Ph.D.	748	2001-047	Fees	Decree of Censure, $2500 civil penalty, 10/05/2002. Superior Court affirmed Board's decision 03/29/2004.
Luick, Anthony H., Ph.D.	748	2012-028	Unprofessional Conduct	Order for Decree of Censure, effective 1/28/2016.
Magier, Mark, Psy.D.	PSY-004010	2018-08	Unprofessional Conduct	Consent Agreement and Order for Probation, Practice Monitor and Continuing Education View the Consent Agreement and Order
Malone, Gloria, Ph.D.	PSY-001082	2019-12	Unprofessional Conduct	Consent Agreement for the Voluntary Surrender of Psychologist License, Effective 7/12/2019 View Consent Agreement and Order
Maselli, David J., Ph.D.	1281	2015-036	Unprofessional Conduct	Decree of Censure and Order for Continuing Education, Effective 11/21/16
Matanovich, Jamie, Ph.D.	PSY-000187	2017-26	Unprofessional Conduct	Consent Agreement and Order for Probation and Supervision effective July 13,2018. View the Consent Agreement and Order Non-Disciplinary Consent Agreement and Order for Practice Restriction. Effective September 13, 2019 View the Non-Disciplinary Consent Agreement and Order
Milby, Holliday B., Ph.D.	1227	2004-028	Evaluation	Consent Agreement to Probation - Shall not administer any psychological assessment instruments until she completes 9 hours of continuing education. Shall not conduct any testing for which she has not undergone formal training - 09/14/2004. Terms completed 5/11/2006.
Miller, Andrew F., Ph.D.	443	1992-030	Billing Irregularities involving Champus	Diversion Program Successfully Completed; Revocation by Consent Agreement 10/22/1998.
Mosko, Andrew F., Ph.D.	437	2004-010	Unprofessional Conduct	Consent Agreement: Probation - 6 hours of continuing education - 06/23/2004. Terms completed 09/14/2004.
Muilenberg, Don T., Ph.D.	1205	1998-005	Breach of Confidentiality	Decree of Censure 08/07/1998.
Nadig, Charulata , Psy.D.	3724	2005-003	Unprofessional Conduct	Consent Agreement - two years probation - 6/28/2005. All Terms and Conditions of Consent Agreement met - released from Probation on 6/28/07
Novie, Gregory J, Ph.D.	1207	1998-036	Unprofessional Conduct	Probation terms completed on 08/24/2000.
Nunemacher, Lynn, Psy.D.	Psy-003987	2017-36	Unprofessional Conduct	Consent Agreement and Order for Probation, Continuing Education, Practice Restriction and Mentoring. Effective November 14, 2018 V iew Consent Agreement Released from Consent Agreement and Order. Effective June 12, 2019 View Release Order
Odegard, Mamiko, Ph.D.	1113	2009-048	2009-048	Consent Agreement for Order of Probation and Supervision for 1 year, effective November 8, 2010. Terms completed April 29, 2011, released from probation.
Padilla, Scott M., Psy.D.	PSY-004881	2018-34	Unprofessional Conduct	Order for Probation, Supervision and Continuing Education - Effective September 20, 2019 View Order
Pool, David E., Psy.D.	3302	2004-022	Fees	Probation: $720 Civil Fine - 08/06/2004. Terms completed 09/23/2004.
Pool, David E., Psy.D.	3302	2004-027	Fees	4 years probation, 6 hours of coursework, practice supervision, cannot supervise or employ trainees - 06/03/2005.
Pool, David E., Psy.D.	3302	2004-027 2005-022	Unprofessional Conduct	Consent Agreement effective 08/08/2005. Placed on Medical Inactive Status and shall not practice until he demonstrates to the Board his fitness to practice with regard to his substance abuse. Shall enroll in an inpatient treatment program and monitored after care program.
Pool, David E., Psy.D.	3302	2005-036	Violated a Consent Agreement	Consent Agreement to a decree of censure - 12/20/2005.
Powers, Marilyn , Ph.D.	1980	2001-018	Records	Consent Agreement effective 01/15/2002. Cannot practice psychology or hold herself out as permitted to practice, nor renew her license.
Powers, Frank , Ph.D.	1813	2003-040	Unprofessional Conduct, Records	Consent Agreement effective 06/14/2005. Three years probation, practice monitoring, practice management consultation, 18 hours of continuing education, restriction from providing psychological services to minors during probation. Licensee met all Terms & Conditions, released from Probation and Consent Agreement 08/06/07
Pyburn, Connie, Ph.D.	PSY-003631	2016-40 & 2017-29	Unprofessional Conduct	Consent Agreement and Order for Probation, Supervision, Continuing Education and Practice Restriction - Effective 9/14/2018 View Consent Agreement and Order Released from Consent Agreement and Order. Effective June 12, 2019 View Release Order
Ramirez, Julio, Ph.D.	3356	2014-08	Unprofessional Conduct	Consent Agreement for 12 months probation, restitution, and Practice Monitor, Effective 01/26/2015; Terms completed 06/03/2016
Robbins, Frances M., Ph.D.	3358	2013-022	Unprofessional Conduct	Consent Agreement for 12 months probation and Practice Monitor, Effective 07/24/2014; Released from Consent Agreement, Effective 04/15/2015.
Roberts, Renee, Ed.D.	1057	2011-31	Unprofessional Conduct	Consent Agreement and Order, 1 year Probation and Practice Monitor, and 36 hours of Continuing Education, Effective 10/29/2012. Terms of probation completed as of 5/3/2013.
Russ, R, Ph.D.	4380	2014-014	Unprofessional Conduct	Consent Agreement for Decree of Censure and agreement not to practice in the State of Arizona, not to apply for licensure as a psychologist in the State of Arizona without written Board approval; not to practice psychology in any other jurisdiction besides those in which he is currently licensed; and not to engage in online or telephonic psychological or counseling services that require a license. Agreement to a stipulated retroactive revocation of his license if he violates terms of the Consent Agreement. Effective 03/31/2015.
Saslow, Harry L., Ph.D.	2095	2003-042	Unprofessional Conduct	Consent Agreement to pay $300 civil fine. Completed - 12/22/2003.
Saslow, Susan L., Ph.D.	1289	2002-032	Failure to release records	Probation: 12 hours of continuing education - 02/07/2003. Terms completed 03/28/2003.
Seitz, Jay, Ph.D.	No license			Application denied for violations of A.R.S. 32-3208 for failing to report to the Board within ten days the indictment for Conspiracy to Commit Mail Fraud and Health Care Fraud; Mail Fraud; and Health Care Fraud) and failing to report being charged with Stalking in the Third Degree and Menacing in the Second Degree (2013NY070142); A.R.S. 32-2061(16)(m) for using fraud, misrepresentation or decepton to obtain or attempt to obtain a psychology license or to pass or attempt to pass a psychology licensing examination or in assisting another person to do so; A.R.S. 32-2061(16)(i) for commission of a felony, whether or not involving moral turpitude, or a misdemeanor involving moral turpitude. In either case, conviction by a court of cempetent jurisdiction or a plea of no contest is conclusive evidence of the commmision for the felony; A.R.S. 32-2061(16)(n) for unprofessional conduct in another jurisdiction that resulted in censure, probation or civil penalty or in the denial, suspension, restriction or revocation of a certificate or license to practice as a psychology. Denial effective 12/12/2017
St. John, Margaret, Ph.D.	1116	2012-01	Unprofessional Conduct	Consent Agreement for Continuing Education and Practice Advisor, Board accepted actions already completed by Licensee to satisfy remedial measures required, Effective 10/15/12
Stapert, John C., Ph.D.	1784	2002-038	Unprofessional Conduct	Probation, Refund of supervision fees 04/28/2003. Affirmed on appeal. Terms completed 11/15/2005.
Thaw, Arnold, Ph.D.	424	2007-036	Fees	Consent Agreement and Order for Practice Monitor
Thompson, Thomas, Ph.D.	3543	2012-29	Unprofessional Conduct, Records	Order for Practice Restriction, Supervision, and Mentor, Effective 7/15/2013
Trisdale, Sandra K., Ph.D.	3387	2000-016	Sexual Misconduct	Revocation, 10/01/2001.
Utic, James M., Ph.D.	1122	2000-003	Unprofessional Conduct	Decree of Censure 11/01/2000.
Wagner, Barrie, Psy.D.	3269	2016-10	Evaluation	Interim Consent Agreement for Voluntary Suspension of License, Effective 3/16/2016 View the Interim Consent Agreement First Amended Interim Consent Agreement and Order for Voluntary Suspension of License, Effective 09/27/2016 View the Amended Interim Consent Agreement Consent Agreement, Effective 04/06/2017 - Probation (minimum of 12 mos), Practice Monitor/Professional Mentor, and Practice restriction - shall not perform custody evaluations or opine on custody evaluation matters. Released from the Consent Agreement on 7/13/2018. View the Consent Agreement and Release Order
Wagner, Barrie, Psy.D.	3269	2016-23	Unprofessional Conduct	Consent Agreement, Effective 04/06/2017 - Probation (minimum of 12 mos) Practice Monitor/Professional Mentor, and Practice restriction - shall not perform custody evaluations or opine on custody evaluation matters. Released from the Consent Agreement on 7/13/2018. View the Consent Agreement and Release Order
Wagner, Rachele “Barrie”, Psy.D.	3269	20-09	Unprofessional Conduct	Interim Order for Suspension of License, Effective 10/23/2019 View the Interim Order Interim Consent Agreement and Order for Voluntary Suspension of License, Effective 12/13/2019 View the Interim Consent Agreement
Westfield-Metellus, Leslie M., Ph.D.	1727	1997-012	Unprofessional Conduct	Consent Agreement signed 04/21/1998 (terms completed).
Westfield-Metellus, Leslie M., Ph.D.	1727	2002-019 2002-030	Unprofessional Conduct	3 years Probation and Practice Supervision - 06/06/2003. Terms completed 06/06/2006.
Woods, Joanna, Psy.D.	3833	2016-03	Unprofessional Conduct	Consent Agreement for 6 months probation, Practice Monitor, and Continuing Education, Effective 09/28/2016; Terms completed 06/02/2017.
Wright, Kimi, Ph.D.	3737	2009-031	Unprofessional Conduct	Decree of Censure 5/24/2010
Wright, Kimi, Ph.D.	3737	2011-004	Unprofessional Conduct	Consent Agreement and Order - Effective 6/26/2012
Wurtz, Richard F, Ph.D.	722	1999-018	Sexual Misconduct	Revocation, 12/03/1999.
Young, Peter M., VI, Ph.D.	1977	2004-018	Unprofessional Conduct	Consent Agreement signed 11/01/2004 to not practice psychology in Arizona until he demonstrates to the Board his fitness to practice.

ONLINE APPLICATION PORTAL

Use the portal to complete the online renewal application or to pay your license issuance or renewal fee.

We do not have an online application for new applicants. New Psychologist and Behavior Analyst applicants must complete a PDF application. Please go to the FORMS tab in the menu, and then go to the application page appropriate to your profession (PSY or BA) for further information and to download forms, including the Universal Recognition applications.

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INITIAL ISSUANCE OF LICENSE

(Does not apply to Renewals):

Approved Applicants are required to pay the pro-rated license fee to have their license issued. This may be paid online by card, or by mail if using a check or money order. If paying by card using the online portal, please email the Board office first. The initial license fee will appear in the applicant's secure shopping cart only after staff assistance. Call 602-542-8161 or 602-542-8163 or email [email protected] for assistance.

BA RULES EFFECTIVE
December 12, 2018

New Behavior Analyst Rules are now in effect.

Statutes and Rules page

A new, revised Behavior Analyst application which conforms to the new Rules is now available on the BA Applications page. If the BA application form you are completing does not have a revision date of 06/2019, you will need to download the new application. Previous versions are not accepted.