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PAVO BEHAVIORAL THERAPY LLC
NPI 1609520022
Behavior Analyst in Mattawan, MI

Active since February 04, 2022
23200 RED ARROW HWY, MATTAWAN, MI 49071(269) 355-6621 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2025, Feb 4, 2022 (2 updates tracked since 2022).

About Pavo Behavioral Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAVO BEHAVIORAL THERAPY LLC (NPI 1609520022) is a healthcare organization registered as a behavior analyst in Mattawan, Michigan and active in the NPI registry since February 2022. The organization lists Lakshmi Padma Kocharla, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609520022
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NamePAVO BEHAVIORAL THERAPY LLC
Location Address23200 RED ARROW HWYMattawan, MI 49071-7774
Mailing Address23200 Red Arrow HwyMattawan, MI 49071-7774 · (810) 423-0890
Phone(269) 355-6621
Organization SubpartNo
Authorized OfficialLakshmi Padma KocharlaCeo · (810) 423-0890
Enumeration DateFebruary 4, 2022
Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1609520022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
23200 RED ARROW HWY, Mattawan, MI 49071
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT MCDONALD DDS
Dentist
23200 RED ARROW HWY
MATTAWAN, MI 49071
Van Buren County (269) 668-6715
MAUREEN JOHNSON
Behavior Technician
23200 RED ARROW HWY
MATTAWAN, MI 49071
Van Buren County (269) 355-6621
GABE JACOB GAMSHO
Behavior Technician
23200 RED ARROW HWY
MATTAWAN, MI 49071
Van Buren County (269) 355-6621
SARAH KRANAK MA, BCBA, LBA
Behavior Analyst
23200 RED ARROW HWY
MATTAWAN, MI 49071
Van Buren County (269) 355-6621
TRENT WILLIAM EISENHAUER
Behavior Technician
23200 RED ARROW HWY
MATTAWAN, MI 49071
Van Buren County (269) 355-6621
MEET PATEL
Behavior Technician
23200 RED ARROW HWY
MATTAWAN, MI 49071
Van Buren County (269) 355-6621
ROBIN MEDENDORP
Behavior Technician
23200 RED ARROW HWY
MATTAWAN, MI 49071
Van Buren County (269) 355-6621
MAHUM KHAN
Behavior Technician
23200 RED ARROW HWY
MATTAWAN, MI 49071
Van Buren County (269) 355-6621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pavo Behavioral Therapy LLC's NPI number?

The NPI number for Pavo Behavioral Therapy LLC is 1609520022. It was assigned to this organization in the NPPES registry on February 4, 2022.

Where is Pavo Behavioral Therapy LLC located?

Pavo Behavioral Therapy LLC is located at 23200 Red Arrow Hwy, Mattawan, MI 49071. The listed phone number is (269) 355-6621.

What is Pavo Behavioral Therapy LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Pavo Behavioral Therapy LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Pavo Behavioral Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pavo Behavioral Therapy LLC was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.