Change Of Address And/Or Name

(1) Change of address. Each person holding a license who has had a change of address or place of employment shall file in writing with the Committee his or her current address, giving both old and new addresses. Notifications shall be received in the Committee’s administrative office no later than thirty (30) days after the change is effective and must reference the individual’s name, profession and license or certificate number. (2) Change of name. An individual licensed by the Committee shall notify the Committee in writing within thirty (30) days of a name change and will provide both the old and new names. A notice of name change must also include a copy of the legal document which implements GENERAL RULES GOVERNING THE PRACTICE OF LICENSED BEHAVIOR CHAPTER 1180-05 ANALYSTS AND LICENSED ASSISTANT BEHAVIOR ANALYSTS the name change and reference the individual’s profession, Committee and license or certificate number.