Applied Behavior Analyst Applications
Effective immediately, anyone coming in person to complete their application, speak to an administrator, or paying a fee will be required to have an appointment. This will ensure excellent customer service. To schedule an appointment please email Unit1HRB.Health@tn.gov. An administrator will contact you with a date and time.
When applying, please DO NOT email or fax applications to the administrative office. All applications must be submitted online through your LARS account or received as an original document in our office. When mailing or hand delivering your application to the cash office please send to: Applied Behavior Analyst Committee, 665 Mainstream Drive, Nashville TN 37243.
- Application for Licensure as a Licensed Behavior Analyst or Licensed Assistant Behavior Analyst
- Paper Application for Licensure as a Licensed Behavior Analyst or Licensed Assistant Behavior Analyst
- Declaration of Citizenship (PH-4183)
- Declaration of Eligibility for Expedited Licensure Process for a Military Member (PH-4279)
- Declaration of Eligibility for Expedited Licensure Process for a Spouse of Military Member (PH-4280)
- Name and Address Change Request (PH-3619)
- Reinstatement Application (PH-4049)
- Retirement Affidavit
- Criminal Background Check Instructions