Name
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First Name
Last Name
Email
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Phone
Location (City, State)
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Pronouns
Website
Social Links
Linkedin Profile
BCBA Certification Number
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Years of Experience
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States you're licensed in/able to practice
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How would you like to participate? (Select all that apply)
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Areas of Specialty (Check all that apply)
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Please affirm:
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We’re proud to accept providers who champion neuro-affirming, inclusive, and culturally humble care. These values are the heart of the Collective because every family deserves to feel seen, respected, and supported.
Please affirm:
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The Parent Coach Collective operates as a private pay model, by design. We believe in freeing both families and BCBAs from the limitations and burnout cycles of insurance-driven care so that your expertise and compassion can truly shine.
Though we don't work with insurance, we do support families in exploring alternative funding options such as state programs or private insurance reimbursement through superbills, so care remains accessible without the constraints of traditional insurance models.
Please affirm:
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What inspired you to explore parent coaching?
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What kind of support or resources would help you grow in this space?
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