Intensive Behavioral Health Services (IBHS)-Applied Behavior Analysis (ABA) Application

 

Community Behavioral Health (CBH) is soliciting applications for Intensive Behavioral Health Services (IBHS) - Applied Behavior Analysis (ABA) providers. Interested qualified applicants should complete the below application. CBH will review all submissions and will contact qualified applicants.

 
 
 

Please enter the email of the point person responsible for credentialing. Follow-up regarding next steps will be emailed to this address.

 

Are you currently enrolled in PROMISe as an IBHS-ABA provider?

 
 

How many CBH members do you project serving per year?

 

Do you agree to adhere to CBH’s Clinical Practice Guidelines and Performance Standards included in the CBH Provider Manual?

 

Please attach a copy of your agency's IBHS-ABA license

Drop your files here