Upper Social Skills Form

Child Name:

First Name

Last Name

Child's Age:

Parent/Guardian Name

First Name

Last Name

Contact Phone:

(###)

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Emergency Contact Name

First Name

Last Name

Emergency Contact Phone

(###)

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Select your Child's Group

Sessions on Tuesdays or Wednesdays

Tuesdays Grades 6-7: 4:00p - 5:00p Wednesdays Grades 8-10: 3:00p - 4:00p

Total Cost: $680 (17 Sessions)

You can pay in full or make 5 equal payments of $136. Please call our office at (321) 316-4860 to arrange payment.

Advance Behavior

Advance Behavior & Learning is owned and operated by Stacy Taylor, MA, B.C.B.A. Stacy has been working in the field of behavior analysis and education for over 15 years and is well known for her innovative, effective, team based approach to teaching . We have a dynamic team of Board Certified Behavior Analysts (BCBAs), Board Certified Assistant Behavior Analysts (BCaBAs), Lead Therapists and Behavior Technicians that work together to help children succeed. These teams are hand selected based on the needs of the child to better ensure the right fit from the start.

Advanced Behavior & Learning | 140 Advance Point, Maitland, FL, 32751, United States