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Brocken Larson, BCBA, LBA
NPI 1568220333 · on the registry since 2024
Practice
- Address
- 10404 S 1055 W
South Jordan, UT 84095 - Phone
- (801) 855-9110
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah