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Nevada Medicaid and Nevada Check Applied Behavior Analysis (ABA) Authorization Request Upload this request through the Provider Web Portal. Questions? Call: (800) 5252395Request Date:REQUEST TYPE:

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Anyone who needs to submit this request should upload it. This includes individuals, organizations, or entities who are required or have the option to submit the specific request outlined in the form.

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Upload this request through an online portal.

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All employees are required to file upload this request through.

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Information such as personal details, date of submission, and nature of request.

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