Ariz. Admin. Code § R4-26-403 - Application for Initial License; Application for License by Reciprocity

A. An individual who wishes to practice as a behavior analyst and is qualified under A.R.S. § 32-2091.02 for an initial license or under A.R.S. § 32-2091.04 for a license by reciprocity shall complete and submit an application form, which is available from the Board office and on its website.

B. Additionally, an applicant shall submit:

1. An original, un-retouched, photograph that is no larger than 1.5 X 2 inches in size and taken no more than 60 days before the date of application;

2. The application fee required under R4-26-402;

3. A copy of a valid fingerprint clearance card issued by the Department of Public Safety under A.R.S. Title 41, Chapter 12, Article 3.1 or evidence of application for a valid fingerprint clearance card;

3.4. A written request that Board staff verify with the BACB that the applicant passed the examination referenced in R4-26-404;

4.5. As required under A.R.S. § 41-1080(A), the specified documentation of citizenship or alien status indicating the applicant's presence in the U.S. is authorized under federal law; and

5.6. The Board's Mandatory Confidential Information form.

C. Application for initial license. Additionally, an applicant for an initial license under A.R.S. § 32-2091.02 shall ensure the following is submitted directly to the Board:

1. Verification of supervised experience that meets the standards specified in R4-26-404.2. For the purpose of licensure, the Board shall accept the following as verification of supervised experience:

a. From the supervisor of the experience:

i. A copy of the BACB final experience verification form, signed by the supervisor, submitted by the applicant to the BACB when the applicant applied to the BACB for certification; or

ii. A completed Board verification form; or

b. From the applicant. If the applicant demonstrates to the Board that a supervisor cannot be located, or at the request of the Board, the applicant may submit a copy of each BACB final experience verification form the applicant submitted to the BACB when the applicant applied to the BACB for certification; and

c. If the Board requires additional information, the Board shall accept from the applicant or supervisor of the experience:

i. A copy of the plan required under R4-26-404.2(C)(6), and

ii. Letters or other documentation from third parties who observed the supervisory relationship;

2. Official transcript for the graduate degree required under R4-26-404.1 submitted by the accredited institution of higher education that awarded the degree; and

3. Official transcript or other official document demonstrating the applicant completed the coursework required under R4-26-405 submitted by the accredited institution of higher education or BACB-approved program in which the coursework was completed.

4. Verification of licensure, certification, or registration by another regulatory jurisdiction submitted by the regulatory jurisdiction.

D. Application for license by reciprocity. Additionally, an applicant for license by reciprocity under A.R.S. § 32-2091.04 shall ensure the following is submitted directly to the Board:

1. Verification of supervised experience that meets the requirements specified by the BACB at the time the applicant was initially certified. For the purpose of licensure, the Board shall accept the verification of supervised experience specified in subsection (C)(1);

2. Official transcript for the graduate degree submitted by the accredited institution of higher education that awarded the degree;

3. Official transcript or other official document demonstrating the applicant completed coursework that meets the Verified Course Sequence requirements specified by the Association for Behavior Analysis, International, at the time the applicant was initially certified and submitted by the accredited institution of higher education providing the coursework; and

4. Official verification of licensure from every jurisdiction that issued a license to the applicant and a statement of whether the license is in good standing.

Notes

Ariz. Admin. Code § R4-26-403

Section made by final rulemaking at 18 A.A.R. 2490, effective September 11, 2012 (Supp. 12-3). Amended by final rulemaking at 23 A.A.R. 215, effective 3/5/2017. Amended by final rulemaking at 24 A.A.R. 3100, effective 12/11/2018. Amended by final rulemaking at 26 A.A.R. 1017, effective 7/4/2020. Amended by final rulemaking at 28 A.A.R. 3891, effective 1/29/2023.