Check Eligibility

To find out if your child is eligible to receive ABA Services through your insurance company, please fill out the following:

Your First Name *:
 
Your Last Name *:
 
Relation to child :
 
E-mail *:
 
Phone *:
 
City or Town *:
 
Insurance Plan *:
Insurance Phone *:
 
Policy Holder Name *:
 
ID Number *:
 
Patient First Name *:
 
Patient Last Name *:
 
Patient DOB *:
 
Therapy Associates | Check Eligibility