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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