ABCDHIJKLMNOPQRSTUVWXYZAAAB
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Student NumberStudent Last NameStudent First NameGradeGenderEthnicityRaceIEP StatusAbsencesODRsDate of Initial FBA/BIPConcerning BehaviorIncrease BehaviorPossible Function of Concerning BehaviorDate of Revised FBA/BIP (enter if new FBA was completed)Decrease BehaviorIncrease Behavior# Weeks (current plan)Replacement behavior increasedProblem Behavior DecreasedOverall ResponseNext StepsAdequate Fidelity?DecisionCheck when Complete
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Review Date:
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PEll
Megan1210/2/2019
non-compliance
coping skills3NNN
N
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KendallNiki1111/5/2019off taskengagement4YYY
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HearnSarah1010/5/2019
non-compliance
coping skills2NYQ
Y
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SwingShelby910/2/2019off taskengagement1QQQ
Y
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JonesJenna99/15/2019
non-compliance
coping skills10/3/2019Frustrationcoping skills7NNNfidelity checkY
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