Spirale System

Spirale Provider Listing

Mr. Earl Bass

Provider Acknowledges the following /
Le prestataire confirme quil⁄elle:
* 18 years or older / A 18 ans ou plusYes
* Has acknowledged site waiver/mandate / mandate Accepte le démenti⁄mandat du siteYes
*Practising with a clear Police check? / Ne possède pas de casier judiciaireYes

General Information / Renseignements généraux

Title / TitreMr.
* First Name / NomEarl
* Surname / Nom de familleBass
Company Name / Nom de l'organismeIndependent
* Address 1 / Adresse 1#803 - 60 Exeter Road
Address 2 / Adresse 2
* City / VilleAjax
* ProvinceOntario
* Postal Code / Code postalL1S2K2
* Phone / Téléphone905-409-0355 ext./poste
Email / Adresse électroniqueEmail this provider Email this Provider
Company Web Site / Web de lorganisme
Geographic Region(s) Served *
Région(s) géographique(s) desservis(es)
Toronto, Central West, Central East
Geographic Area(s) Served *
Région(s) géographique(s) desservis(es)
Toronto, Durham, Kawartha Lakes, Peterborough, York, Halton, Peel

Provider Information / Renseignements sur le fournisseur

Which of the following services do you provide?Adult Services / Services aux adultes, Academic Tutoring / Tutorat, Adaptive (Life) Skills / Aptitudes d’adaptation à la vie quotidienne, Adaptive Sports and Recreation / Sports et loisirs adaptatifs, Adaptive Technology / Technologie adaptative, Behaviour and Communication / Comportement et communication, Community Integration / Intégration communautaire, Social Skills / Compétences sociales, 1:1 Program Support (School or Community) / 1:1 Soutien aux programmes (école ou collectivité)
If you are a Student, what College or University are you currently attending?
Highest Related Degree / Plus haut diplôme dans un domaine reliéBachelors
Degree Subject / Domaine du diplômeSpecial Education Specialist
Resume available upon request? / Mon CV est disponible sous demande?Yes
References available upon request? Yes
Language(s) in which you can provide service *
Service offert dans quelle(s) langue(s)?
Other Language(s) / Autres langues
Are you accepting new clients?
Acceptez-vous des nouveaux clients?
Do you have a wait list?
Avez-vous une liste dattente?

Service Location / Lieu de prestation des services

I provide services in a/the / J’offre des services aux endroits suivants:Community centre (provide name) / Centre communautaire (nom du centre communautaire), Client’s home / À domicile, Other / Autre endroit
Clinic/Center Name (if applicable):
* Office / Centre-Based Service? / Service dans un centre?
* Home-Based Service / Service à domicile?
* Community-Based Service / Service en communauté?

Provider Experience / Expérience du fournisseur

* Do you have experience in working with children and youth developmental disabilities? / / Avez-vous déjà travaillé avec des enfants et des jeunes qui avaient des troubles du développement? Yes
* Do you have experience working with children and youth ASD? / Avez-vous déjà travaillé avec des enfants et des jeunes qui avaient un trouble du spectre de l’autisme (TSA)? Yes
Age Group / Groupe dâge desservisNumber of People Served with ASD / Nombre de personnes ayant un TSA desservies
* Preschool / Préscolaire26-50
* Grades K-8 / Élémentaire26-50
* High School / Secondaire11-25
* Adult / Adulte11-25

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