Alaska Administrative Code
Title 12 - Professional Regulations
Part 1 - Boards and Commissions Subject to Centralized Licensing
Chapter 77 - Behavior Analysts
Article 1 - Licensing
12 AAC 77.110 - Application for license by credentials
Universal Citation: 12 AK Admin Code 77.110
Current through February 24, 2025
An applicant for a behavior analyst or an assistant behavior analyst license by credentials must submit
(1) a completed application on a form provided by the department; the completed application must include
(A) the personal identification information
requested on the form;
(B)
information on the applicant's physical and mental health related to the
grounds for license refusal, suspension, or revocation in
AS
08.15.050;
(C) information on any criminal convictions
related to the grounds for license refusal, suspension, or revocation in
AS
08.15.050; and
(D) the applicant's fingerprint information
described in
12 AAC
77.120(a);
(2) the application fee, the fingerprint processing fee, and the license fee specified in 12 AAC 02.390;
(3) verification of a current license in another state on a form provided by the department; and
(4) proof of current certification as required in AS 08.15.020(a)(4) or (b)(4) as applicable.
Authority:AS 08.15.020
AS 08.15.080
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