Let's Get Your Family Started

Home-based ABA services for children with autism across the Bay Area, Greater Sacramento, and the Central Valley. In network with Medi-Cal, Partnership HealthPlan of California, Aetna, CCHP, Kaiser, and Alameda Alliance.

Are you a provider, school, or regional center referring a client? Submit a referral instead.

How it works

1
Tell us about your child
Fill out the form below — it takes about 5 minutes. Your availability for sessions is the most important part: it's how we match you with a therapist.
2
We verify coverage and follow up
Our intake team reviews your information, verifies your insurance benefits, and follows up by email, text, or phone with any questions and next steps.
3
Complete intake online and meet your team
You'll complete the Client Intake and Release of Information forms right here on our website, plus anything else your plan requires. Then we schedule an assessment and match a therapist to your family's availability.

Tell us about your child

Share a few details and your family's availability, and our intake team will follow up by email, text, or phone. Everything you share stays private.

Your relationship to the child*

Your Name*

Phone*

Email*

Best way to reach you

Insurance*

Insurance Member ID

If you have it handy, this helps us verify coverage faster. Not required.

Your child's Full Name (First and Last)*

Your child's Date of Birth*

Your child's Gender*

MaleFemaleOther

Your City*

Your Family's Preferred Language

Your Availability for Sessions*

Consistent session times are essential for your child to receive consistent services, make progress toward goals, and graduate from ABA. Please share every day and time your child (and a caregiver) can truly be available — more availability helps us match a therapist faster and keep sessions consistent.

Select every day you're available:

Availability start date*

Availability end date*

If your schedule changes later (new school year, summer break), you can always share updated availability with our team.

Anything we should know?

Upload any helpful documents

Please upload what you have — you don't need all of these to submit:

A photo of the insurance card (front and back)
A doctor's referral or note recommending ABA, if you have one
A diagnosis or evaluation report, if you have one

I agree to receive SMS messages from Behavia Therapy. Messages may include appointment reminders, scheduling updates, intake follow-ups, care coordination, and other service-related notifications. Message frequency varies. Message and data rates may apply. Reply STOP at any time to opt out or HELP for assistance.

No mobile information will be shared with third parties or affiliates for marketing or promotional purposes. View our Privacy Policy and Terms of Use.

Helpful reading while you wait

Prefer to call or email?

Reach our intake team directly — we're happy to answer questions before you fill anything out.

Client Intake: (510) 984-2823
Email: intake@behaviatherapy.com

Let's Get Your Family Started

Are you a provider, school, or regional center referring a client? Submit a referral instead.

How it works

Tell us about your child

Fill out the form below — it takes about 5 minutes. Your availability for sessions is the most important part: it's how we match you with a therapist.

We verify coverage and follow up

Our intake team reviews your information, verifies your insurance benefits, and follows up by email, text, or phone with any questions and next steps.

Complete intake online and meet your team

You'll complete the Client Intake and Release of Information forms right here on our website, plus anything else your plan requires. Then we schedule an assessment and match a therapist to your family's availability.

Tell us about your child

Share a few details and your family's availability, and our intake team will follow up by email, text, or phone. Everything you share stays private.

Your relationship to the child*

Your Name*

Phone*

Email*

Best way to reach you

Insurance*

Insurance Member ID

If you have it handy, this helps us verify coverage faster. Not required.

Your child's Full Name (First and Last)*

Your child's Date of Birth*

Your child's Gender*

MaleFemaleOther

Your City*

Your Family's Preferred Language

Your Availability for Sessions*

Select every day you're available:

Availability start date*

Availability end date*

If your schedule changes later (new school year, summer break), you can always share updated availability with our team.

Anything we should know?

Upload any helpful documents

Please upload what you have — you don't need all of these to submit:

A photo of the insurance card (front and back)
A doctor's referral or note recommending ABA, if you have one
A diagnosis or evaluation report, if you have one

No mobile information will be shared with third parties or affiliates for marketing or promotional purposes. View our Privacy Policy and Terms of Use.