For individuals, please submit the following information: You must be a GABA member to be included as an individual service provider. Last Name: First Name: City: BCBA or BCABA # (if applicable): County: E-mail Address: URL to home page: Highest degree held: Areas of interest (i.e., developmental disabilities, performance management, etc.): Insurance providers you accept (i.e., Medicaid, MedWaiver, etc.): Other (i.e., services provided):