Biofeedback and neurofeedback certification expanded internationally, and the Biofeedback Certification International Alliance (BCIA) revised both recertification and certification programs in 2013. This article examines the main engines that have fueled certification growth: the BCIA affiliate program, the international expansion of BCIA-accredited training programs, and international educational and scientific society meetings held by the Society for Applied Neuroscience and the Biofeedback Federation of Europe. The authors conclude with a review of recent changes in recertification, academic certification, and the Neurofeedback Blueprint and a progress report on BCIA's HRV Biofeedback Certificate of Completion, Board Certified Practitioner and Mentor Directory, and Job Board programs.

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