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First name
Last name
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Username
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License/Certification Type
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None – N/A
Board Certified Assistant Behavior Analyst (BCaBA)
Board Certified Behavior Analyst (BCBA or BCBA-D)
Licensed Behavior Analyst (LBA)
Certified Clinical Mental Health Counselor (CCMHC)
Licensed Associate Clinical Professional Counselor (LACPC)
Licensed Clinical Professional Counselor (LCPC)
Licensed Associate Professional Counselor (LAPC)
Licensed Professional Counselor (LPC)
Licensed Professional Clinical Counselor (LPCC)
National Certified Counselor (NCC)
Associate Marriage and Family Therapist (LAMFT or AMFT)
Licensed Marriage and Family Therapist (LMFT)
Licensed Associate Mental Health Counselor (LAMHC)
Licensed Mental Health Counselor (LMHC)
Licensed Master Social Worker (LMSW)
Associate Social Worker (ASW)
Licensed Clinical Social Worker (LCSW)
Licensed Independent Clinical Social Worker (LICSW)
Licensed Psychological Associate (LPA)
Licensed Psychologist
Licensed Educational Psychologist (LEP)
Occupational Therapist (OT)
Physical Therapist (PT)
Speech-Language Pathologist Assistant (SLPA)
Speech-Language Pathologist (SLP)
Other
License/Certification Number
Secondary License/Certification Type (not required)
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None – N/A
Board Certified Assistant Behavior Analyst (BCaBA)
Board Certified Behavior Analyst (BCBA or BCBA-D)
Licensed Behavior Analyst (LBA)
Certified Clinical Mental Health Counselor (CCMHC)
Licensed Associate Clinical Professional Counselor (LACPC)
Licensed Clinical Professional Counselor (LCPC)
Licensed Associate Professional Counselor (LAPC)
Licensed Professional Counselor (LPC)
Licensed Professional Clinical Counselor (LPCC)
National Certified Counselor (NCC)
Associate Marriage and Family Therapist (LAMFT or AMFT)
Licensed Marriage and Family Therapist (LMFT)
Licensed Associate Mental Health Counselor (LAMHC)
Licensed Mental Health Counselor (LMHC)
Licensed Master Social Worker (LMSW)
Associate Social Worker (ASW)
Licensed Clinical Social Worker (LCSW)
Licensed Independent Clinical Social Worker (LICSW)
Licensed Psychological Associate (LPA)
Licensed Psychologist
Licensed Educational Psychologist (LEP)
Occupational Therapist (OT)
Physical Therapist (PT)
Speech-Language Pathologist Assistant (SLPA)
Speech-Language Pathologist (SLP)
Other
Secondary License/Certification Number (not required)
Country
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Age (range)
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18-24
25-34
35-44
45-54
55-64
64+
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Race
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Gender Identity
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