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Status
Name of the RBT Aplicant
Applicant BACB ID
Course Name
Training Start Date
Training End Date
Issue Date
Responsible Trainer Name
Responsible Trainer Certification #
Assistant Trainer(s) Names & Certification Numbers
Verify at
Name of the RBT Aplicant
Applicant BACB ID
Training Start Date
Time to Complete
Training End Date
Responsible Trainer Certification #
Responsible Trainer Signature
Assistant Trainer(s) Names & Certification Numbers
Training Information
Trainer Information
Organization Name
This training program is designed to meet the 2026 training eligibility requirement for RBT certification.
This training is offered independent of the BACB.
Verify at
Issue Date
Time to complete
Valid
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