Provider Demographics
NPI:1003614686
Name:CONBOY, BETH A (RBT)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:A
Last Name:CONBOY
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:JUDE
Other - Middle Name:
Other - Last Name:CONBOY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6424 COMMANDER RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23224-4408
Mailing Address - Country:US
Mailing Address - Phone:512-497-8138
Mailing Address - Fax:
Practice Address - Street 1:2920 W BROAD ST STE 215
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-5103
Practice Address - Country:US
Practice Address - Phone:804-988-1150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician