Request for Transfer of Supervisor--BACB

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Request for Transfer of Supervisor--BACB

If you are a certified RBT who has successfully passed OCA's training phase, then please fill out this form to request our Clinical Director to transfer your name under one of our experienced Clinicians. This will ensure the board has the most up to date information about whose providing your supervision.

Successfully passing the training phase would mean that you have passed the OCA RBT competency assessment with 80% or more.

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Email *

Your email

Full Name (first, middle, last) *

Your answer

RBT Certification Number *

Your answer

First Date of Employment *

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