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The first affiliation that always comes to mind is the INA which stands for International Nanny Association. Others are Alliance of Professional Nanny Agencies and Nannies as Parenting Partners. Most national nanny services are associated with one of these or perhaps even the Better Business Bureau. You might check out your local Chamber of Commerce for other listings. There are also informal nanny support groups available online through services such as Yahoo Groups. These informal groups create support between nannies and allow them to talk about the highs and lows of their positions to other understanding nannies.