Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROCKEN D LARSON, BCBA, LBA
ActiveBROCKEN D LARSON, BCBA, LBA is a Behavior Analyst healthcare provider located in SOUTH JORDAN, Utah. NPI 1568220333 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · SOUTH JORDAN, UT
Registration Details
- NPI Number
- 1568220333
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 7, 2024 (2.4081471988578 yrs)
- Last Updated
- Mar 7, 2024
- License
-
12068508-2506 (UT)
Practice Information
- Address
-
10404 S 1055 WSOUTH JORDAN, UT, 840951514Browse UT providers · Browse ZIP 84095
- Phone
- 8018559110
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in SOUTH JORDAN, UT
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID EMERSON KEDDINGTON | — | 1982910212 |
| LACEY ANDERSON | BCBA | 1609290154 |
| LINDSEY TIRMENSTEIN | BCABA | 1609273051 |
| KIRSTEN MICHELLE SWIFT | BCBA | 1194184689 |
| PATRICIA HAYNER | — | 1013436815 |
| KAITLYN JO DIONNE | BCBA, LBA | 1801681937 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.