Provider Demographics
NPI:1730678046
Name:SEXTON, ELIZABETH (BCBA-D)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:SEXTON
Suffix:
Gender:F
Credentials:BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13765 RANCHO VERDE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-7330
Mailing Address - Country:US
Mailing Address - Phone:775-762-8712
Mailing Address - Fax:
Practice Address - Street 1:13765 RANCHO VERDE DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-7330
Practice Address - Country:US
Practice Address - Phone:775-762-8712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCI0249101YP2500X
NVLBA0047103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional