1. CERTIFICATE OF SUCCESSFUL COMPLETION
REGISTERED BEHAVIOR TECHNICIAN
NAME: Rachelle Miller
The above individual has completed 40 hours of direct instruction and supervised practice in behavior
analysis principles, including measurement, assessment procedures, skill acquisition, behavior reduction
procedures, documentation and reporting, and professional conduct and scope of practice.
Start Date: 12/16/2015 Completion Date: 12/21/2015
RBT Instructor: Wesley Lowery, BCBA, Certificate # 1-15-18457
Field Supervisor: Wesley Lowery, BCBA, Certificate # 1-15-18457
Signature: ______________________________________________
This training program is based on the Registered Behavior Technician Task List and is designed to meet the 40-hour
training requirement for the RBT credential. The program is offered independent of the BACB.
Ace Provider # OP-13-2348 Positive Behavior Supports Corp.