ABA Therapy Behavior Assessment Form - Form must be completed and submitted as supporting documentation for an ABA therapy PA request - Fillable - Revised 6/20/19

Medicaid Agency

This government document is issued by Medicaid Agency for use in Alabama

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File Details: PDF (704 KB)
Downloads: 72
Source
https://medicaid.alabama.gov/documents/9.0_Resources/9.4_Forms_Library/9.4.14_PA_Forms/9.4.14_PA_ABA_Behavioral_Assessment_Form_Revised_6-20-19.pdf

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