Start Your Intake | ABA Therapy Enrollment

ABA Therapy Enrollment

Tell us about your family

This quick form takes 2–5 minutes. Please have your insurance information handy — we'll verify your benefits for you.

Please share the details below. Fields marked * are required.

Child

Child's first name *

Child's last name *

Child's date of birth *

Child's gender

Parent / guardian

Guardian first name *

Guardian last name *

Email address *

Phone *

Address

Apt #

Zip code *

Language

Insurance

Name of insurance *

Member ID number

Services

Center only, or in-home & center (hybrid)?

Preferred hours of service

Morning Day Afternoon

Are you interested in receiving ABA services at the Horizon Blue ABA Center? *

A little more

How did you hear about Horizon Blue ABA?

Anything else? (optional)

🔒 Your information is sent securely to our team and never shared. Insurance cards, ID, and evaluation documents will be requested by our team after this step.

Prefer to talk first? Call us at (718) 212-0222.

Accepted Insurance Plans

We work with many major providers

Coverage may vary by plan, so contact us to verify your benefits — our team handles the details for you.

Medicaid insurance accepted at Horizon Blue ABA

Cigna insurance accepted at Horizon Blue ABA

EmblemHealth insurance accepted at Horizon Blue ABA

1199SEIU insurance accepted at Horizon Blue ABA

NYCE PPO insurance accepted at Horizon Blue ABA

Child Health Plus insurance accepted at Horizon Blue ABA

Molina Healthcare insurance accepted at Horizon Blue ABA

MVP Health Care insurance accepted at Horizon Blue ABA

UnitedHealthcare insurance accepted at Horizon Blue ABA

Carelon insurance accepted at Horizon Blue ABA

Anthem insurance accepted at Horizon Blue ABA

Verify your insurance

Prefer to talk it through first?

Call our team at (718) 212-0222 — we're glad to answer questions before you enroll.

Start Intake Form Talk to Our Team

Start your child's enrollment

Tell us about your family

We work with many major providers

Prefer to talk it through first?