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IndividualActive

Brocken D Larson

BCBA, LBA

Behavior Analyst

NPI: 1568220333South Jordan, Utah, 84095(801) 855-9110Male

About Brocken D Larson

Brocken D Larson, BCBA, LBA, is a male healthcare professional specializing in Behavior Analyst, registered under National Provider Identifier (NPI) number 1568220333. Their primary practice is located at 10404 S 1055 W, South Jordan, Utah 84095.

Patients can reach the office at (801) 855-9110. Brocken D Larson has been NPI-registered since 2024.

Doctor Details

Identity & Credentials

NPI Number
1568220333
Entity Type
Individual
First Name
Brocken
Last Name
Larson
Credential
BCBA, LBA
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
10404 S 1055 W
City
South Jordan
State
Utah
ZIP
84095-1514
Country
United States
Phone
(801) 855-9110

Specialty & Taxonomy

Primary Specialty
Behavior Analyst
Classification
Behavior Analyst
Taxonomy Code
103K00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
191 W 425 S
City
OGDEN
State
UT
ZIP
844047349

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Brocken D Larson's NPI number?
Brocken D Larson's National Provider Identifier (NPI) is 1568220333. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Brocken D Larson specialize in?
Brocken D Larson specializes in Behavior Analyst.
Where is Brocken D Larson located?
Brocken D Larson practices at 10404 S 1055 W, South Jordan, Utah 84095. You can reach them by phone at (801) 855-9110.
Does Brocken D Larson accept Medicare?
Based on available data, Brocken D Larson is not currently enrolled in the Medicare program.
Does Brocken D Larson offer telehealth or virtual visits?
Brocken D Larson does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Brocken D Larson is 1568220333.