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8725 S 212th St. Kent, WA 98031 (425) 658-3016
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Connections Behavior Planning & InterventionConnectionsBehavior Planning & Intervention
  • Home
  • Get Started
  • About
    • Careers
    • Our Staff
    • Insurance
  • Services
    • ABA Therapy
    • Parent Training
    • School Districts
  • Events
    • Continuing Education
    • Parents
    • On-Demand
    • Summer Camp 2025 Information
  • Contact

Intake Form

    Please note that initial contact will be via email
  • Insurance Information for ABA Coverage

    Please select all insurance carriers that you have. If you are unsure or your plan is not listed, you may select 'other'. If your plan is not listed, we may not be in-network with your insurance.
  • MM slash DD slash YYYY
    For In-Home sessions, exact times and days of week would be determined during intake depending on your child need's and staffing availability.
  • Drop files here or
    Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 250 MB.
      Note: Specific required documents like insurance card, and diagnostic evaluation must be received to officially add your child to the waitlist. We can obtain other medical or educational records before beginning services.
    • The next step is for us to process the documents you submitted. Please be reminded that completing the forms does not guarantee a spot and there might be a wait before services start. We will be in touch with you within 3-5 business days.

    Contact Us

    Google Map of 8725 S 212th St. Kent, WA 98031
    We'd love to hear from you!

    Feel free to call or email. We are also happy to schedule info sessions and tours.

    • Our office is located at 8725 S 212th St. Kent, WA 98031
    • 425-658-3016
    • support@connections-behavior.com
    ConnectionsBehavior Planning & Intervention
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