Organization
BLUE SPECTRUM CANOPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMCHA BENDET (DIRECTOR)
(347) 977-7095
Entity
Organization
Contact information
Practice address
1255 E 31ST ST, BROOKLYN, NY 11210-4740
(347) 977-7095
Mailing address
1255 E 31ST ST, BROOKLYN, NY 11210-4740
(347) 668-9113
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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