Behavior Analyst Licensing Information

For Applicants who are applying as a Licensed Behavioral Analyst by Reciprocity and hold a current license in a state or territory of the United States that requires similar education, experience, and certification as required for corresponding licensure in Indiana.

1. Completed Application: Submit online
2. Application fee of $75.00: Fee is paid online during the online application process. All application fees are nonrefundable.
3. Criminal Background Check
4. Positive Response Documentation: If you answer "Yes" to any questions on the application, explain fully in a statement that includes all details. Include the violation, location, date, cause number, and disposition. Submit copies of court documents for each instance to support the statement. If malpractice, provide the name(s) of the plaintiff(s).
5. Name Change Documentation: Documentation of any legal name change if your name differs from that on any of your documents. Documentation may include a copy of your marriage certificate or divorce decree.
6. Statement of the Scope of Practice in the Other State(s) of Licensure: Provide information regarding the scope of your practice in the other state(s) where you currently hold a license.  Please upload at the time of application.
7. Verification of Licensure (if applicable): If you hold a license or certification in another State, you must provide verification of that information. Verifications must be completed from the state of issuance and can be uploaded to your online account.  Those jurisdictions may provide their own verification, or complete our verification form here. Copies of license cards from other jurisdictions are not accepted as proof of verification of licensure.
   • The top portion of this form should be completed by the applicant and sent to the appropriate state licensing board for their submission to the Indiana Professional Licensing Agency. The form may be duplicated if you hold multiple licenses. Other jurisdictions may charge a fee to verify licensure. You may wish to contact the state boards prior to your request for verification. You do not need to complete this form if you only hold licensure or certification in the State of Indiana.

The Fair Information Practice Act:  In compliance with Ind. Code 4-1-6, this agency is notifying you that you must provide the requested information, or your application will not be processed. You have the right to challenge, correct, or explain information maintained by this agency. The information you provide will become public record. Your examination scores and grade transcripts are confidential except in circumstances where their release is required by law, in which case you will be notified.

Mandatory Disclosure of U.S. Social Security Number: Your social security number is being requested by this state agency in accordance with Ind. Code 4-1-8-1 and 25-1-5- 11(a). Disclosure is mandatory, and this record cannot be processed without it. Failure to disclose your U.S. social security number will result in the denial of your application. Application fees are not refundable.

Abandon Applications:  If an applicant does not submit all requirements within one (1) year after the date on which the application is filed, the application for licensure is abandoned without any action of the Board. An application submitted after an abandoned application shall be treated as a new application.

For Applicants who are applying as an Assistant Behavioral Analyst and who are a Board Certified Assistant Behavior Analyst^® (BCaBA^®) in good standing with the Behavior Analyst Certification Board (BACB).

1. Completed Application: Submit online
2. Application fee of $75.00: Fee is paid online during the online application process. All application fees are nonrefundable.
3. Criminal Background Check
4. Positive Response Documentation: If you answer "Yes" to any questions on the application, explain fully in a statement that includes all details. Include the violation, location, date, cause number, and disposition. Submit copies of court documents for each instance to support the statement. If malpractice, provide the name(s) of the plaintiff(s).
5. Name Change Documentation: Documentation of any legal name change if your name differs from that on any of your documents. Documentation may include a copy of your marriage certificate or divorce decree.
6. Signed Contract with a Licensed Behavior Analyst: Provide a copy of a signed contract with a licensed behavior analyst that is approved by the Behavior Analyst Certification Board (BACB) to provide supervision under 844 IAC 21-4-6.  Please upload at the time of application.

The Fair Information Practice Act:  In compliance with Ind. Code 4-1-6, this agency is notifying you that you must provide the requested information, or your application will not be processed. You have the right to challenge, correct, or explain information maintained by this agency. The information you provide will become public record. Your examination scores and grade transcripts are confidential except in circumstances where their release is required by law, in which case you will be notified.

Mandatory Disclosure of U.S. Social Security Number: Your social security number is being requested by this state agency in accordance with Ind. Code 4-1-8-1 and 25-1-5- 11(a). Disclosure is mandatory, and this record cannot be processed without it. Failure to disclose your U.S. social security number will result in the denial of your application. Application fees are not refundable.

Abandon Applications:  If an applicant does not submit all requirements within one (1) year after the date on which the application is filed, the application for licensure is abandoned without any action of the Board. An application submitted after an abandoned application shall be treated as a new application.

For Applicants who are applying as an Assistant Behavioral Analyst by Reciprocity and holds a current license in a state or territory of the United States that requires similar education, experience, and certification as required for corresponding licensure in Indiana.

1. Completed Application: Submit online
2. Application fee of $50.00: Fee is paid online during the online application process. All application fees are nonrefundable.
3. Criminal Background Check
4. Positive Response Documentation: If you answer "Yes" to any questions on the application, explain fully in a statement that includes all details. Include the violation, location, date, cause number, and disposition. Submit copies of court documents for each instance to support the statement. If malpractice, provide the name(s) of the plaintiff(s).
5. Name Change Documentation: Documentation of any legal name change if your name differs from that on any of your documents. Documentation may include a copy of your marriage certificate or divorce decree.
6. Signed Contract with a Licensed Behavior Analyst: Provide a copy of a signed contract with a licensed behavior analyst that is approved by the Behavior Analyst Certification Board (BACB) to provide supervision under 844 IAC 21-4-6.  Please upload at the time of application.
7. Verification of Licensure (if applicable): If you hold a license or certification in another State, you must provide verification of that information. Verifications must be completed from the state of issuance and can be uploaded to your online account.  Those jurisdictions may provide their own verification, or complete our verification form here. Copies of license cards from other jurisdictions are not accepted as proof of verification of licensure.
   • The top portion of this form should be completed by the applicant and sent to the appropriate state licensing board for their submission to the Indiana Professional Licensing Agency. The form may be duplicated if you hold multiple licenses. Other jurisdictions may charge a fee to verify licensure. You may wish to contact the state boards prior to your request for verification. You do not need to complete this form if you only hold licensure or certification in the State of Indiana.

The Fair Information Practice Act:  In compliance with Ind. Code 4-1-6, this agency is notifying you that you must provide the requested information, or your application will not be processed. You have the right to challenge, correct, or explain information maintained by this agency. The information you provide will become public record. Your examination scores and grade transcripts are confidential except in circumstances where their release is required by law, in which case you will be notified.

Mandatory Disclosure of U.S. Social Security Number: Your social security number is being requested by this state agency in accordance with Ind. Code 4-1-8-1 and 25-1-5- 11(a). Disclosure is mandatory, and this record cannot be processed without it. Failure to disclose your U.S. social security number will result in the denial of your application. Application fees are not refundable.

Abandon Applications:  If an applicant does not submit all requirements within one (1) year after the date on which the application is filed, the application for licensure is abandoned without any action of the Board. An application submitted after an abandoned application shall be treated as a new application.

Approved CE Providers are valid for two years. The licenses once renewed will remain valid for two years with the last day of the renewal year to be December 31st. Reminders to renew your license will be sent out on or around 90 days prior to the expiration of the license. Once your have renewed your license please check that your license has renewed by either logging into your account, or by using our Free Search and Verify.