Organization
BLUE DOOR ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY R LEVY (DIRECTOR)
(315) 800-8333
Entity
Organization
Contact information
Practice address
2024 E 17TH ST, BROOKLYN, NY 11229-3802
(315) 800-8333
Mailing address
2024 E 17TH ST, BROOKLYN, NY 11229-3802
(315) 800-8333
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
222Q00000X
Developmental Therapist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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