Neurodiversity Affirming Providers Neurodiversity Affirming Providers Neurodiversity Affirming Providers Join our Neurodiversity Affirming Provider List Will you be attending our event? * Coun't me in! I can't attend, but please keep my updated about future events. Name * First Name Last Name Email * License/Credential Type * Thank you! We look forward to connecting soon! If you already practice within the Neruodiversity Affirming Paradigm, please fill out this form if you would like to be added to our provider list. Name * First Name Last Name Licence/Credential Type * Phone * (###) ### #### Email * You may list your practice website here http:// Please list your practice location * What are your service options? * In person Virtual Please indicate what ages of clients you work with. * Please indicate the days/hours you see clients here * Please include specifics about the services you provide. (For example: therapy modalities, individual, couples, family, groups, assessment, medication management, nutrition, ARFID, etc) Would you like to be added to the mailing list for NDA announcements? * If you have any questions, feedback, or requests you may enter it here. Thank you! You will be added to the directory shortly.
