The Biofeedback Certification International Alliance (BCIA) has certificants in 32 countries. The author chronicles the development of BCIA's international outreach, reviews the challenges that had to be overcome, and explains why BCIA's shift to ethics education and online testing were crucial to this process. This article concludes with a discussion of BCIA's international affiliate program, recognition of its Australian and Mexican affiliates, and discussion of exciting developments in Canada.

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