Brocken D. Larson, BCBA, LBA
NPI 1568220333ActiveIndividual· Behavior Analyst· South Jordan, UT
Behavior Analyst (BCBA, LBA) in South Jordan, Utah, licensed in UT, with an NPI issued in March 2024.
Overview
| NPI | 1568220333 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BCBA, LBA |
| Sole proprietor | No |
| NPI issued | Mar 7, 2024 |
| Last updated in NPPES | Mar 7, 2024 |
| Certified by provider | Mar 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 12068508-2506 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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