BA Applications

 

Have a question? Check out the FAQ!


 

Shortcuts to PDF Applications & FORMS: 
 

POST-COVID-19 Guidance for Submitting Applications - All Applicants, please review. 

Behavior Analyst Application for Licensure


Behavior Analyst Application for Licensure by Universal Recognition

This is the "reciprocity" application. 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.  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 (email is acceptable) 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

  • Time frame from receipt of application to approval averages 3-4 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 in 3-4 months ahead. 

  • Applicants may request verifications or other documentation sent to the Board in advance of their application. Verifications, transcripts, and any other documents received in the Board's office (by email, mail, fax or delivery service) are retained for 12 months and are matched to the application once the application is received. All documents and verifications may be received by email at [email protected].) 

  • Please allow up to three (3) weeks for staff to complete the initial intake of your application and email you a a notice of deficiency.  

  • We do not have an online application. 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 deficiency and your application will be placed on the next available agenda AFTER the missing documentation is received. 

  • It is the applicant's responsibility to request an update after the initial notice of deficiency has been emailed to the applicant by Board staff.  For updates regarding your application, please email the licensing specialist at [email protected].  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


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 08/2019 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

POST-COVID-19 Guidance for Submitting Applications - All Applicants, please review. 


Behavior Analyst 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. 

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.

Citizenship Status Form (all applicants are required to provide proof of lawful status in the United States)

 

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

POST-COVID-19 Guidance for Submitting Applications - All Applicants, please review. 


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)
  • 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. 
  • 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. Verifications from other states may be emailed from the respective boards to [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 by email to [email protected]. 

 

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.