Pavo Behavioral Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PAVO BEHAVIORAL THERAPY LLC

Practice address

23200 Red Arrow Hwy
Mattawan, MI 49071-7774

Phone

(269) 355-6621

NPI assigned

Feb 4, 2022

Last updated

Nov 17, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lakshmi Padma Kocharla, MDNPI 1518178813

Title

Ceo

Phone

(810) 423-0890

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lakshmi Kocharla, MD

  • Rheumatology Physician
  • Grand Rapids, MI
  • NPI 1518178813
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1609520022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23200 RED ARROW HWY",
            "city": "MATTAWAN",
            "state": "MI",
            "postal_code": "490717774",
            "telephone_number": "810-423-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23200 RED ARROW HWY",
            "city": "MATTAWAN",
            "state": "MI",
            "postal_code": "490717774",
            "telephone_number": "269-355-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVO BEHAVIORAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "KOCHARLA",
        "authorized_official_first_name": "LAKSHMI",
        "authorized_official_middle_name": "PADMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-423-0890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Mattawan, MI
• Providers in Mattawan, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.