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Parent/Guardian Information

First Name*

First Name*

Parent First Name

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Last Name*

Last Name*

Parent Last Name

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Email Address*

Email Address*

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Phone Number*

Phone Number*

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Zip Code*

Zip Code*

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Child Date of Birth*

Child Date of Birth*

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Does Your Child Have A Diagnosis?*

Does Your Child Have A Diagnosis?*

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Have You Received ABA Therapy Services Before?*

Have You Received ABA Therapy Services Before?*

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What Is Your Availability For Services?*

What Is Your Availability For Services?*

Services available Monday-Friday. Check all that apply.

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Are You Willing and Able To Dedicate At Least 10 Hours For Services Each Week?*

Are You Willing and Able To Dedicate At Least 10 Hours For Services Each Week?*

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Is Your Child Attending/Will Attend Public School This Year?*

Is Your Child Attending/Will Attend Public School This Year?*

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What is your child's primary insurance?

What is your child's primary insurance?

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Spectrum Behavioral Therapies | ABA Therapy Orange County, CA
Our Mission
We are not just another ABA company. We do this by growing a team of like-minded individuals who prioritize their clients’ progress over all else.
At Spectrum Behavioral Therapies, we are passionate about what we do. In an effort to improve the quality of life for children affected by autism, we strive to provide quality, research-based and effective interventions to match the needs of each unique child.
A fun, smiling group photo of the Spectrum Behavioral Therapies staff
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