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Behavioral Change


Registration - Step 1: Request an Info Packet
Questions Call Us Toll-Free: 866-437-2165
Step 1: Request an Info Packet.
Step 2: Schedule a Parent/Child Interview with a BCBA.

Step 3: Pay a Deposit to Hold Your Child's Start Date and/or Other Treatments
Online Today! Sign-In to Download Paper Work and Visit BCBA again.

 

 

 

 

 

Links to Steps

• Request Info Packet
• Schedule a Visit
• Hold Your Start Date

 
Sign In Registration
Treatment with Autism
User Name:
Austism and Parents
Password:
Helping Autism




Sign-In to:
• Download Paperwork
• Finish Making Payment
• Make New Payment


If you forgot your
password please
call our main office
at Toll-Free:
866-437-2165

or email us at
info@shape
ofbehavior.com

and ask us to resend
your password.

 

 

Shape of Behavior
 
 
 
 

Begin Online Enrollment
- Have credit card ready -

Pay a Deposit to Hold Your Child's Start Date and/or Other Treatments online now.
Hold your child's start date by paying your deposit online. If you wait to mail in payments your child's start date will not be held and will be put in line in order received of other children's enrollments.

*required fields

Your Full Name:*
 
E-mail Address:*
 
Telephone Number :*
 

Enter your password to be able to log-in at anytime and to be able to download paperwork for enrollment:
User Name : Your email Address above
 
Password:*
 
Verify Password:*
 

 
Child's Full Name:*
Start Date:  ex. 00/00/00
Payment Amount:*

*Tuition: variable amount plus 2% fee
If Other Amount :  

Credit Card:*

Credit Card Account #:*
Full Name on Credit Card:*
Billing Address:*
Exp. Date:*
Security Code:* 3 digit # on back.

 

 

 

 
 
   
Autism