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Organization

BESPOKE ADAPTIVE LIFE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY OKORO (DIRECTOR)
(346) 880-8002
Entity
Organization

Contact information

Practice address
5300 RANCH POINT DR STE C, KATY, TX 77494-7355
(346) 880-8002
Mailing address
5300 RANCH POINT DR STE D, KATY, TX 77494-7355
(346) 880-8002

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician
372500000X
Chore Provider
373H00000X
Day Training/Habilitation Specialist
374U00000X
Home Health Aide

Other

Enumeration date
03/05/2026
Last updated
03/05/2026
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