Arizona Board of Psychologist Examiners

Protecting the Public by Regulating the Professions of Psychology and Behavior Analysis

Heisler, Jay R., Ph.D.

License #:

3602

Docket Number:

2006-003

Complaint Type/Description:

Disciplinary action in another state

Description of Resolution:

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.

Briggs, Robert A., Ph.D.

Burkholder, Rachel , Ph.D.

Campbell, Eugene E., Ph.D.

Caughlin, Jennifer L., Ph.D.

Cherry, Eugene, Ph.D. Ph.D.

Cohn, Michael J., Ed.D.

Cuddeby, Gordon W., Ph.D.

Daniel, Stephen P., Ph.D.

Drydyk, Steven J., Ph.D.

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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.

PSY Applications

BA Applications

Pay Application Fees
by Credit or Debit Card

Staff cannot process credit/debit cards. If you wish to pay your application fee online with a card, please submit your application first (email is acceptable) and let Board staff know you want to pay the fee with a card. Staff must enter your application in the database 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.

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.