Individuals must be certified to practice art therapy by the Art Therapy Credential Board, Inc. (ATCB). The Art Therapy Credentials Board Examination (ATCBE) is a national exam taken for board certification and in some cases required for state licensure. Computerized testing is offered four to five times per year (Art Therapy Credentials Board, 2014) within testing window dates at 170 testing sites across America. The written paper-pencil test is given once a year at a national level