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ABOUT US
ABOUT AUTISM CONNECTIONS
ABOUT AUTISM
OUR TEAM
MISSION & HISTORY
FAQ
JOB OPPORTUNITIES
AUTISM CONNECTIONS IS A PATHLIGHT PROGRAM
CONTACT US
SERVICES
BUILDING CONNECTIONS
EVENTS CALENDAR
MONTHLY NEWSLETTERS
SUPPORT GROUPS
DIRECT CARE SERVICES
AGENCY WITH CHOICE
DESE/DDS PROGRAM
INTENSIVE FLEXIBLE FAMILY SUPPORTS
AUTISM WAIVER PROGRAM
WAIVER PROVIDERS
EDUCATIONAL ADVOCACY
TRAININGS FOR PROFESSIONALS
RESOURCES
NEW FAMILY PACKET
RESOURCE DIRECTORY
RESOURCE DIRECTORY PROVIDER PORTAL
NEWS & EVENTS
2024 AUTISM CONFERENCE
VILLAGE HILL INFORMATION
IN THE NEWS
CALENDAR
PUBLICATIONS
SIGN UP FOR OUR NEWSLETTER
2024 AUTISM CONFERENCE
KEYNOTE
BREAKOUT SESSIONS
BECOME A SPONSOR
EXHIBITOR OPPORTUNITIES
PLACE AN AD
CONTACT
GIVING
SPONSORSHIP OPPORTUNITIES
VOLUNTEERS
ABOUT US
ABOUT AUTISM CONNECTIONS
ABOUT AUTISM
OUR TEAM
MISSION & HISTORY
FAQ
JOB OPPORTUNITIES
AUTISM CONNECTIONS IS A PATHLIGHT PROGRAM
CONTACT US
SERVICES
BUILDING CONNECTIONS
EVENTS CALENDAR
MONTHLY NEWSLETTERS
SUPPORT GROUPS
DIRECT CARE SERVICES
AGENCY WITH CHOICE
DESE/DDS PROGRAM
INTENSIVE FLEXIBLE FAMILY SUPPORTS
AUTISM WAIVER PROGRAM
WAIVER PROVIDERS
EDUCATIONAL ADVOCACY
TRAININGS FOR PROFESSIONALS
RESOURCES
NEW FAMILY PACKET
RESOURCE DIRECTORY
RESOURCE DIRECTORY PROVIDER PORTAL
NEWS & EVENTS
2024 AUTISM CONFERENCE
VILLAGE HILL INFORMATION
IN THE NEWS
CALENDAR
PUBLICATIONS
SIGN UP FOR OUR NEWSLETTER
2024 AUTISM CONFERENCE
KEYNOTE
BREAKOUT SESSIONS
BECOME A SPONSOR
EXHIBITOR OPPORTUNITIES
PLACE AN AD
CONTACT
GIVING
SPONSORSHIP OPPORTUNITIES
VOLUNTEERS
Please fill out this information ONLY if you work with people with autism.
We are compiling a database of service providers and resources for our community, specializing in autism. As the autism resource center for all of western Massachusetts, we pride ourselves in having relevant and up to date resources available to our community members. Hundreds of families, professionals, and individuals will have access to our database.
1. Organization/Provider Name :
2. Phone number (write N/A if none) :
3. Website URL (write N/A if none) :
4. Contact name (write N/A if none) :
5. Contact email address (write N/A if none) :
6. Address :
Post Office Box # :
City/Town :
State/Province :
ZIP/Postal Code :
7. County (check all counties that you serve) :
Hampden
Hampshire
Franklin
Berkshire
Outside of Western Massachusetts
8. Are you based out of more than one location? :
Yes
No
List towns where you have other offices in Massachusetts :
9. Organizational description (limit 500 characters) :
10. Highlight specific autism therapy(s) you provide:
Applied Behavioral Analysis (ABA)
Counselors and social workers
Equine Therapy
Music/Dance/Art
Sensory Integration
Social Skills
Speech & Language
Other
11. Choose the category your organization best fits into (select all that apply) :
Education
Employment
Financial Resources
Health Services
Interventions
Legal Resources
Recreation
Respite / Residential
State Agencies
Support Groups
Technology
Therapy
Others
12. Choose the sub-category your organization best fits into (select all that apply):
>Education > Educational Advocates
>Education > Educational Assessments
>Education > Schools
>Education > SPED PACS
>Education > Post-Secondary Education
>Employment > Employment Services
>Employment > Vocational Support
>Financial Resources > Family Grant Opportunities
>Financial Resources > Financial Assistance Programs
>Financial Resources > Financial Planners
>Health Services > Autism Diagnostics
>Health Services > Dental Services
>Health Services > Diet/Nutrition
>Health Services > Gastroenterologists
>Health Services > Neurologists
>Health Services > Pediatrics
>Health Services > Physical Therapy
>Health Services > Psychiatrists
>Health Services > Psychologists
>Interventions > Crisis Intervention
>Interventions > Early Intervention
>Legal Resources > Advocates
>Legal Resources > Attorneys
>Recreation > Activities
>Recreation > Camps
>Respite / Residential > After-School Programs
>Respite / Residential > Day Programs
>Respite / Residential > Overnight Respite Facilities
>Respite / Residential > Residential Services
>Respite / Residential > Respite Care
>State Agencies > State Agencies
>Support Groups > Parent / Family Support
>Support Groups > Peer Support
>Technology > Assistive Technology
>Technology > Augmentative Communication
>Therapy > Applied Behavior Analysis (ABA)
>Therapy > Counselors & Social Workers
>Therapy > Equine Therapy
>Therapy > Music / Dance / Art Therapy
>Therapy > Sensory Integration Therapy
>Therapy > Social Skills Therapy
>Therapy > Speech & Language Therapy
>Adult Services
>Aspergers
>Auditory integration
>Autism Consultant
>Direct Care Providers
>Doctors
>Occupational Therapists
>Peer Support
>Recreational Services
>Sacro-cranial Therapists
>Sexuality Issues Supports
>Social Skills Trainers/Groups
>Statewide Autism Supports
>Transition/Transition Assistance
13. Age groups you serve (select all that apply) :
Young Child (0-4)
School Age (5-21)
Adult (22+)
Other Grouping
14. Populations you serve (select all that apply) :
Females
Males
LGBTQ+
Multicultural
Immigrant/Refugee
Other (please specify)
15. Languages spoken (select all that apply) :
English
Spanish
French
Chinese
Russian
Polish
Swahili
Other (please specify)
16. Do you accept MassHealth? :
Yes
No
17. Do you offer a wait list? :
Yes
No
About how long a wait before a client may be seen?
18. Other insurance you accept (list all that apply or "N/A") :
Other (please specify - note that we will use our discretion whether a new sub-category needs to be added or whether your submission fits into a pre-existing sub-category)
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