Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brocken D Larson, BCBA, LBA

Individual provider Behavior Analyst · NPI 1568220333

Brocken D Larson, BCBA, LBA is a Behavior Analyst in South Jordan, Utah. Licensed in Utah. Registered with an NPI since 2024.

Licensed in
UT
In the registry since
2024
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

10404 S 1055 W
South Jordan, UT 84095-1514
Phone: (801) 855-9110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 12068508-2506 (UT)

Record details

NPI number1568220333
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA , LBA
Sole proprietorNo
NPI enumeratedMarch 7, 2024
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024
Mailing address191 W 425 S, Ogden, UT 84404-7349

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