| Pavo Behavioral Therapy Llc | |
|
1099 Skyevale Dr Ada MI 49301 | |
| (810) 423-0890 | |
| Not Available |
| Full Name | Pavo Behavioral Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1099 Skyevale Dr, Ada, Michigan |
| Authorized Official Name and Position | Lakshmi Padma Kocharla (CEO) |
| Authorized Official Contact | 8104230890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pavo Behavioral Therapy Llc 1099 Skyevale Dr Ada MI 49301 Ph: (810) 423-0890 | Pavo Behavioral Therapy Llc 1099 Skyevale Dr Ada MI 49301 Ph: (810) 423-0890 |
| NPI Number | 1609520022 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/04/2022 |
| Certification Date | 01/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609520022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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