Contact Form

BICA Contact Form

Thank you for your interest in Behavioral Institute for Children and Adolescents. We look forward to communicating with you. Please complete and submit the following form so that we may best serve you.

TYPE OF INQUIRY

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MESSAGE RECIPIENT

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MESSAGE

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PREFERRED RESPONSE TYPE

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CONTACT INFORMATION

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First Name
Last Name
Title
Organization
Address Type	Home Work
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone (xxx-xxx-xxxx)
Home Phone (xxx-xxx-xxxx)
FAX (xxx-xxx-xxxx)
E-mail

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THANK YOU!

Institute Information

651-484-5510 phone

651-483-3879 fax

info@behavioralinstitute.org

Mailing Address

3585 Lexington Ave N

Suite 163

Arden Hills, MN 55126

Hours

Please call ahead. In general, we are open Monday - Friday from 9:30 a.m. - 5:30 p.m. and evenings and weekends by chance or by appointment.