OrganizationActive
Pavo Behavioral Therapy LLC
NPI 1609520022 · Behavior Analyst · Mattawan, MI
Provider details
- NPI number
- 1609520022
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lakshmi Kocharla, Ceo(810) 423-0890
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
23200 Red Arrow Hwy
Mattawan, MI 49071-7774
Phone: (269) 355-6621
Street-level locationGet directions
Mailing address
23200 Red Arrow Hwy
Mattawan, MI 49071-7774
Registry dates
- Enumerated
- 2022-02-04
- Last updated
- 2025-11-17
- Certified
- 2025-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.