Name *

First Name

Last Name

Are you in the Baltimore area? *

Yes

No

Do you acknowledge that children in 20+ hours of ABA therapy will be carefully considered on a case-by-case basis? *

Yes

No

Do you understand that the Lab will not speak with your insurance company? We do however provide superbills for you to submit to your insurance company on your own. *

Yes

No

I am interested in *

1:1 Speech Therapy with Corinne

Parent Coaching

Planning a class or playgroup in my space

Other