Individual
CRISTA CONBOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
11341 W COLLINA VISTA DR, STAR, ID 83669-6238
(415) 212-8596
Mailing address
11341 W COLLINA VISTA DR, STAR, ID 83669-6238
(415) 212-8596
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-27526
BACB
—
Enumeration date
04/18/2019
Last updated
01/02/2025
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