Spirale System







Spirale Provider Listing

Ms. Kelsey Sisson
Experienced


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 / TitreMs.
* First Name / NomKelsey
* Surname / Nom de familleSisson
Company Name / Nom de l'organismeIndependent
* Address 1 / Adresse 1460 Laurier Dr
Address 2 / Adresse 2
* City / VilleLaSalle
* ProvinceOntario
* Postal Code / Code postalN9J1M2
* Phone / Téléphone2263449703 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)
South West
Geographic Area(s) Served *
Région(s) géographique(s) desservis(es)
Essex

Provider Information / Renseignements sur le fournisseur

Which of the following services do you provide?Adaptive (Life) Skills / Aptitudes d’adaptation à la vie quotidienne, Adaptive Sports and Recreation / Sports et loisirs adaptatifs, Behaviour and Communication / Comportement et communication, 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 reliéDiploma, Bachelors (In Progress)
Degree Subject / Domaine du diplômeAutism and behavioural science
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)?
English
Other Language(s) / Autres langues
Are you accepting new clients?
Acceptez-vous des nouveaux clients?
Yes
Do you have a wait list?
Avez-vous une liste dattente?
No

Service Location / Lieu de prestation des services

I provide services in a/the / J’offre des services aux endroits suivants:Clinic (provide name) / Clinique (nom de la clinique)
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 / Préscolaire11-25
* Grades K-8 / Élémentaire6-10
* High School / Secondaire0
* Adult / Adulte0



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