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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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