IndividualActive
Brocken Larson, BCBA, LBA
NPI 1568220333 · Behavior Analyst · South Jordan, UT
Brocken Larson, BCBA, LBA is a Behavior Analyst provider in South Jordan, UT (NPI 1568220333).
Provider details
- NPI number
- 1568220333
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA, LBA
- Sex
- Male
- Sole proprietor
- No
- License
- 12068508-2506 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10404 S 1055 W
South Jordan, UT 84095-1514
Phone: (801) 855-9110
Street-level locationGet directions
Mailing address
191 W 425 S
Ogden, UT 84404-7349
Registry dates
- Enumerated
- 2024-03-07
- Last updated
- 2024-03-07
- Certified
- 2024-03-07
Frequently asked questions
- What is Brocken Larson's NPI number?
- Brocken Larson's National Provider Identifier (NPI) is 1568220333, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brocken Larson's specialty?
- Brocken Larson is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Brocken Larson located?
- Brocken Larson's practice location on file with NPPES is 10404 S 1055 W, South Jordan, UT 84095-1514.
- What is Brocken Larson's phone number?
- The practice phone number listed in the NPPES registry for Brocken Larson is (801) 855-9110.
- Is Brocken Larson's NPI active?
- Yes — Brocken Larson's NPI (1568220333) is active in the NPPES registry as of the last update on 2024-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.