The First Step Is a Conversation.

Fill out the form below and a member of our clinical team will reach out within one business day. There is no cost, no obligation — just an honest conversation about how we can help your child.

1Your Information

Your Name *

Email Address *

Phone Number *

Preferred Contact Method

2About Your Child

Child's Name *

Date of Birth

Current Diagnosis or Concern

3Services You Are Interested In

Select all that apply — or choose "Not sure yet."

4Insurance & How You Found Us

Insurance Provider

How Did You Hear About Us?

Anything Else You Would Like Us to Know?

By submitting this form you agree to be contacted by Apex Applied Behavior Solutions regarding your inquiry. We never share your information with third parties.

Prefer to Call?

Our team is available Monday through Friday, 8 am to 6 pm. We are always happy to answer questions over the phone — no form required.

(703) 853-5925