IBAO CEU PROVIDER APPLICATION

PROVIDER NAME
Brain Weave ABA

LEAD CONTACT NAME/CREDENTIALS

Anurita Baid IBA, QASP-S

CONTACT EMAIL
brainweaveaba@gmail.com

TRAINING LEADING TO CEUS WILL BE BEHAVIORAL OR BEHAVIOR ANALYTIC

YES NO

TRAINING WILL ALIGN WITH ETHICS, SUPERVISION, CULTURAL,

OR GENERAL ABA TOPICS

YES NO

LEAD WILL ENSURE INSTRUCTOR AND CONTENT APPROPRIATENESS

-

YES NO

Additional Information

CEU Providers are responsible for providing documentation to trainees that can be uploaded into their IBAO
accounts clearly showing the area to which the training aligns: Ethics, Supervision, Cultural, General ABA Topics.

CEU Providers should display the CEU Provider logo on the completion documentation.

CEU Providers can use the CEU Provider name and logo to promote and market their trainings that align with the
approved content areas.

Please send completed application to info@theIBAO.com

Please include website address, social media links, and organizational logos if you wish IBAO to share and
promote your organization on its website and social media pages.