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Organization

PAVO BEHAVIORAL THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAKSHMI PADMA KOCHARLA MD (CEO)
(810) 423-0890
Entity
Organization

Contact information

Practice address
23200 RED ARROW HWY, MATTAWAN, MI 49071-7774
(269) 355-6621
Mailing address
23200 RED ARROW HWY, MATTAWAN, MI 49071-7774
(810) 423-0890

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
02/04/2022
Last updated
11/17/2025
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