FORMS

The Louisiana Behavior Analyst Board offers assistance to Behavior Analysts in obtaining licensure. Below are downloadable versions of necessary forms and applications.  PLEASE NOTE:  In order to apply for licensure in Louisiana, you must first be certified by the Behavior Analyst Certification Board.  Please visit bacb.com for more information on national certification.

HELPFUL NOTE:  In some cases a form in PDF is not fillable online.  Click print, then preview in PDF and a copy will be created to your computer which is fillable in some instances.

PLEASE READ ALL APPLICATIONS CAREFULLY - LBAB DOES NOT ACCEPT PERSONAL CHECKS, BUSINESS CHECKS, OR CASH

LBA/SCABA Application Portfolio

PLEASE NOTE BACB VERIFICATION FORM IS NO LONGER NECESSARY – IF YOU SEND FORM YOU WILL INCUR A $25 BACB FEE AFTER 7/1/19.

Application – Frequently Asked Questions

LBA/SCaBA Application

License/Certification Verification Form

UPDATED Application for Line Technichian Registration and Proof of Supervision Form (combined)

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Proof of Supervision SCaBA only

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CRIMINAL BACKGROUND CHECK PACKET AND INSTRUCTIONS - DO NOT USE THESE FORMS UNLESS AN APPLICATION IS BEING SUBMITTED

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Renewals to be submitted by December 31, 2022.

LBAB 2022 CEU Reporting Form

Breakdown of hours for the 2022 Reporting Period

Hours must be earned from January 1, 2021 – December 31, 2022

Licensed Behavior Analysts

  • Licenses issued in 2020 or before:  32 credits, 4 in ethics
  • Licenses issued in 2021:  16 credits, 2 in ethics
  • Licenses issued in 2022:  0 credits

State Certified Assistant Behavior Analysts

  • Certificates issued in 2020 or before: 20 credits,4 in ethics
  • Certificates issued in 2021:  10 credits, 2 in ethics
  • Certificates issued in 2022:  0 credits

2022.LBA.RENEWAL.FORM

2022.SCABA.RENEWAL.FORM

2022.RLT.RENEWAL.FORM 

Supervisory Discontinuation Form

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Supervisory Change Form within Same Company

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