BA Applications

 

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Behavior Analyst Application for Licensure 

This application was updated on 4/05/2021. Earlier forms cannot be accepted


Behavior Analyst Application for Licensure by Universal Recognition

DO NOT use this application if you DO NOT have a license in another U.S. State or Territory. BCBA certification is NOT a license.  You must have a license in another U.S. State or Territory for at least ONE YEAR to be qualified to apply for licensure by Universal Recognition. Read the related Statute on the Arizona State Legislature's website: A.R.S. § 32-4302. 

 

Credit/Debit Card Payments for Application Fees

Staff cannot process credit/debit cards. If you wish to pay your application fee online with a credit card, please submit your application first per the instructions on the first page of the application and let Board staff know you want to pay the fee via credit/debit card. Staff must enter your application in the system before the application fee can be paid via the online application portal. Otherwise,  initial application fees may be paid by check or money order via mail or delivery.

 

Scroll down to see more information about each path to licensure

THINGS TO NOTE ABOUT THE APPLICATION PROCESS

  • Due to the state of emergency, the time frame from receipt of application to approval averages 5-6 months and is entirely dependent on how quickly verifications are received. For example, if you wish to be licensed in July, please send your application to the Board in January.

  • Applicants may request verifications or other documentation sent to the Board in advance of their application. Verifications, official transcripts, and any other documents received in the Board's office are retained for 12 months and are matched to the application once the application is received. Applications, supporting documents, and supervised experience verifications may be submitted via upload to the online BA Documents Submissions portal. This is a secure upload. License verifications and official transcripts may be sent by the verifier to [email protected]. 

  • Supervised Experience hours cannot be verified by the BACB. First, the BACB does not disclose this information to third parties. Second, the BACB is not the primary source for this documentation - the primary source is your supervisor.  Third, the BACB's retention schedule is seven (7) years for application and license files, which is problematic for those who did not maintain their own records after certification. If you wish to use the same hours for licensure that you used for your BCBA certification, you may have your supervisor submit a copy of the BACB Final Experience Verification form the supervisor signed for your BCBA certification. Otherwise, the supervisor may complete the Arizona verification form, "Supervised Experience or Independent Fieldwork Verification", which can be downloaded from this page. If your supervisor is no longer available, you must submit documentation of your attempts to contact your supervisor in order for the Arizona Board to accept the BACB Final Experience Verification Form from you. 

  • Please be aware, if your supervisor submits your BACB Final Experience Verification Form and there are multiple supervisors listed, the Board requires the applicant to submit a list of supervisors and the start and end dates for which each supervisor was responsible in order to determine if the supervised experience complied with A.A.C. R4-26-404.2(C)(4). Please do this using the Multiple Supervisors at One Organization form, downloadable from this page. 

  • Due to the state of emergency, please allow up to six (6) weeks for staff to complete the initial intake of your application and email you a a notice of incomplete application or a notice that the application is administratively complete if this is the case.  

  • We do not have an online application at this time. All applicants must submit a form-fillable PDF application by email or mail. Use Adobe Acrobat or Adobe Reader for best experience when filling out an application. All other programs and apps change the functions of the document. 

  • A.A.C. R4-26-201 requires that an application be placed on an agenda if it is administratively complete 18 days prior to the next scheduled board meeting. This also means that an application that is not administratively complete cannot be placed on an agenda. "Administrative completeness" means that all required verifications and documentation have been received and processed by Board staff.  Please be aware that staff has up to 100 applications open in various stages of completeness at any given time, and applications and documentation are processed in the order they are received.  If any item has not been received, you will receive a notice of incomplete application and your application will be placed on the next available agenda AFTER the required documentation is received. 

  • It is the applicant's responsibility to request an update after the initial notice of incomplete application has been emailed to the applicant by Board staff.  For updates regarding your application, please call Kathy, the licensing specialist, at 602-542-8161.  It is up to the applicant to keep track of when documentation has been sent, and request an update regarding the Board's receipt of that documentation. 

 

Behavior Analyst Application for Licensure

This application was updated on 4/05/2021. Earlier forms cannot be accepted.
Behavior Analysts are required to be licensed by the Board of Psychologist Examiners to practice independently in Arizona. Instructions and requirements are on the first page of the application packet. Current Version has 03/2021 Revised Date. We do not have an initial online application. Please see Arizona Revised Statutes (A.R.S.) § 32-2091.02, A.R.S. § 32-2091.03 and Arizona Administrative Code (A.A.C.) R4-26-203 through R4-26-406 for requirements. (Statutes and Rules can be found on the Statutes and Rules page of the website.)
 

Please download and complete the PDF application:
Behavior Analyst Application for Licensure


BA Application Support Documents & Verification Forms 

The forms below are also included in the application packet. If you are unable to digitally separate the verification form from the packet, please download the below verification form.

PLEASE NOTE, as of August 1, 2019, verification that an applicant passed the BACB's exam will be independently obtained by Board staff. 

Appropriate Documentation for "Yes" Answers
For professional conduct questions in this application, if the answer is "yes", appropriate documentation is required. Please review this PDF for a list of the associated documentation or evidence that must be submitted to the Board if your answer to the question is “yes”.

Supervised Work Experience or Independent Fieldwork Verification
(Make as many copies as needed)  If you are applying the same hours towards licensure that you used for BCBA certification, your supervisor may submit your BACB Final Experience Verification forms instead of this verification form. If you are applying different supervised hours, use this verification form. 

R4-26-403(C)(2) requires that verifications be sent directly from your supervisor to the Board's office. Verifications included with your application will not be accepted.

Multiple Supervisors at One Organization
The BACB Final Experience Verification form for Multiple Supervisors at One Organization lacks information the Committee on Behavior Analysts and the Board need to determine if the experience meets Arizona's requirements. It is the applicant's responsibility to provide the additional materials. To that end, for any organization at which you were supervised by more than one individual through the duration of the entire experience, please complete Arizona's Multiple Supervisors at One Organization form and provide the additional materials listed in the instructions.  This form is not needed if you had only one supervisor for the duration of a supervised experience.

Citizenship Status Form  All applicants are required to provide proof of lawful status in the United States.

Checklist - Am I Ready to Submit My Application for Licensure?  Please use this checklist to determine if you have completed all requirements for your license application as a Behavior Analyst. 

 

Behavior Analyst Application for Licensure by Universal Recognition

This is the "reciprocity" application. PLEASE READ "WHO IS ELIGIBLE TO APPLY BY UNIVERSAL RECOGNITION?" below before filling out this application. On August 27, 2019, the Arizona Board of Psychologist Examiners will begin accepting applications for licensure by universal recognition. Read the related Statute on the Arizona State Legislature's website: A.R.S. § 32-4302. 


Please download and complete the PDF application:
Behavior Analyst Application for Licensure by Universal Recognition


For questions 5 - 10 in this application, if the answer is "yes", appropriate documentation is required. Please see the PDF "Appropriate Documentation for "Yes" Answers" for a list of the associated documentation or evidence that the applicant must submit to the Board if the applicant’s answer to the question is “yes”.


WHO IS ELIGIBLE TO APPLY BY UNIVERAL RECOGNITION? 

The universal recognition policy (A.R.S. § 32-4302) allows Arizona residents to use an out-of-state professional or occupational license to qualify for an Arizona license to work. To qualify, an applicant must:

  • Prove residence in Arizona (See the Board's Substantive Policy Statement regarding this). You must be a resident of Arizona to qualify for licensure by Universal Recognition. 
     
  • Be currently licensed or certified for at least one year in another U.S. state or territory in the discipline applied for and at the same level of practice as recognized in Arizona.  BCBA certification is NOT a license; it is a national specialty certification that demonstrates you meet the national standards of the profession.  A state license authorizes the holder to practice their profession within the state's borders.  
     
  • Be in good standing in all states where currently or previously licensed or certified. Verification is required directly from the licensing board to the Arizona Board of Psychologist Examiners for all licenses or certifications ever held regardless of the status of the license or certification. Please contact your licensing board for their instructions to request to have verification sent to the Arizona Board of Psychologist Examiners. The only exceptions to this are states that provide online verifications only or are appropriate for license applications: Colorado, Indiana, Nebraska, Virginia, and Washington State. Verifications for these five states are obtained by Board staff. All other states may email or mail license verifications to this Board. If they will email the verification, please provide the following email address for this purpose: [email protected]. 
     
  • Have met all applicable education, work, exam, and/or clinical supervision requirements in the other state where originally licensed or certified. 
     
  • Pay the $350 application fee either by check or money order to the Arizona Board of Psychologist Examiners or by credit/debit card via the online application portal. YOU MUST FIRST SUBMIT YOUR APPLICATION AND LET BOARD STAFF KNOW YOU WISH TO PAY BY CREDIT/DEBIT CARD. The application must be entered into the system before the fee can be paid via the online portal. You may submit your application and supporting materials using the submissions portal. 

 

Application for Fee Waiver

Arizona Revised Statutes § 41-1080.01 provides for a waiver of “any fee charged for an initial license for any individual or applicant whose family income does not exceed 200% of the Federal Poverty Guidelines if the individual is applying for that specific license in this state for the first time.” If you believe that you qualify for the waiver, please use the application below and submit with your initial license application.

Download the PDF Application:
Application for Fee Waiver form 

  • Instructions are on the first page of the form. 
  • If you are applying for a fee waiver, DO NOT include the application fee with your application. Under these circumstances, any checks or money orders will be returned.  Board staff will email you regarding your fee waiver application once review is completed.