Provider Demographics
NPI:1720272180
Name:SEXTON, LEIGH BURKEY (MS, LPC, BCBA)
Entity Type:Individual
Prefix:MS
First Name:LEIGH
Middle Name:BURKEY
Last Name:SEXTON
Suffix:
Gender:F
Credentials:MS, LPC, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2851 HUERTA WAY
Mailing Address - Street 2:
Mailing Address - City:NORCO
Mailing Address - State:CA
Mailing Address - Zip Code:92860-2360
Mailing Address - Country:US
Mailing Address - Phone:620-639-5344
Mailing Address - Fax:
Practice Address - Street 1:8300 UTICA AVE STE 259
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3852
Practice Address - Country:US
Practice Address - Phone:909-906-1505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60901101YM0800X
106S00000X
1-21-57103103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1894552-01Medicaid