BlueSprig Meridian

Jordan Marquez

DOB 2020-02-14 6y MRN BS-00184-2 Insurance ID 910001202650

F84.0 Autistic disorder F80.2 Mixed receptive-expressive language disorder

Date

May 4, 2026

Start – End

14:30 – 16:30

Duration

2:008 units

Service code

97153Adaptive behavior treatment by protocol

Place of service

11 · OfficeKingwood Center, Houston, TX

Authorization

AUTH-2026-0412-JM38 of 120 units remaining · expires May 30, 2026

Provider

Avery Bennett, RBT writing this note

Supervising clinician

Imani Reeves, BCBA Was Not Present last supervised 2 days ago

Parent / caregiver

Sofia M. (mother) Not Present · Center Based

Sibling(s)

Not Present

For Center and School-based services, Family Guidance sessions are offered each month and parents are kept informed of program changes and updates. Parents have access to data and session notes through the family portal.

Programs implemented addressing the treatment goals and objectives, and the data recorded (including any problem behaviors that may have occurred) during the session, are reflected in the table below.

Programs · today’s data

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Branch name	Current data	Data type	Current phase	Phase change	Added by

By checking this box, the provider indicates that they have added the treatment data into today’s session note.

Session Summary

Clear

Jordan arrived to session at 14:32 and transitioned into the activity room. We had a good session overall.

We worked on tact training with common nouns from Set A. Jordan responded independently on 8 of 10 trials and required a gestural prompt on the remaining 2 trials. I delivered praise after each correct response and ran a brief wait probe between trials, shaping Jordan’s tolerance toward the 5-second criterion.

During the mand block Jordan seemed frustrated and we saw a brief elopement attempt toward the door, so I redirected him with verbal prompts and prompted him with verbal cues through the next set of trials and he calmed down for the remainder of the block and got back on track without further issues, which took us until the end of the mand block.

I delivered Reinforcment using a token board paired with 60-second iPad access on an FR-1 schedule; Jordan earned 8 tokens across the block before exchanging.

Sofia M. (mother) joined for the last 10 minutes and ran a generalization probe on the toileting routine; Jordan responded independently on 2 of 2 opportunities. Imani Reeves, BCBA, has been out the past two sessions and plans to supervise next week. I will email Imani a summary of today’s mand block performance for review.

Jordan also had a snack break before continuing.

Session ended at 16:30 and Jordan transitioned to caregiver pickup.

Interventions implemented today

0 selected

Additional information for BCBA / LBA

Clear

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By signing below, I affirm that I provided services in accordance with the BACB Professional and Ethical Compliance Code, and that the data and narrative above accurately reflect today’s session.

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Avery Bennett, RBT · awaiting signature

I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my handwritten signature, and I have provided service in accordance with ethical codes.

Supervising clinician signature — if required (Imani Reeves, BCBA)

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Direct 1:1 Session Note

Jordan Marquez

Programs · today’s data

Session Summary

Interventions implemented today

Additional information for BCBA / LBA

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Note quality coaching · Avery Bennett, RBT

Supervision plan

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