Tri State Autism Resource App information Question Title * 1. Business Name and Information Resource Name Location Address City/Town State/Province ZIP/Postal Code Phone Number OK Question Title * 2. URL for business website OK Question Title * 3. Description of Services OK Question Title * 4. Category Medical Early Intervention (Ages 0-3) School (Ages 0-21) Transition/Adult Services Community Based Services Mental Health OK Question Title * 5. Please check the box below to confirm that you provided this information to be added to the Autism Resource Connection App sponsored by the TASN - Kansas Technical Assistance Network, and the Nebraska ASD Network. I represent the above company and would like this information included in the Autism Resource Connection App. I represent the above company and would like our information to be removed from the Autism Resource Connection App OK DONE