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Neurodiversity Affirming Service provider
Thank you for your interest in being added to the Neurodiversity Network of WNY list of Neurodiversity affirming service providers.
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Name
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First and last name
Your answer
Email
*
Your answer
Phone number
*
Your answer
Website
Your answer
Are you neurodivergent? (Please skip this question if you do not wish to disclose)
Yes
No
Other:
Clear selection
Do you work in the health and human service field?
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Yes
No
Other:
Please list any degrees or professional licenses/certifications that you have.
Your answer
What ages do you provide services to?
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Your answer
Please share some examples of your experience working with autistic/ADHD/neurodivergent clients?
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Your answer
Do you provide ABA services?
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Yes
No
What are some of the main approaches or strategies you use while working with neurodivergent clients (e.g., DIRflortime, providing accommodations (please list), client access to sensory room or tools, person centered approach, CBT, etc.)?
Your answer
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