Provider Index > Applied Behavior Analysis (ABA) > Licensed Behavior Analysts (OPRA to Billing)
Provider Enrollment & Maintenance
Complete this Enrollment Form if you are:
- any ownership related information, and
- managing employees, those with a control interest, and agents
IF CHANGES HAVE OCCURRED, DO NOT SUBMIT THIS FORM.
Instead, You Must Complete A New Enrollment Form for Billing Providers.
OPRA to Billing Enrollment Form