Robot tasks require grounding spatial language in physical scenes, but task success alone cannot establish whether spatial instructions are followed. We present BEHAVIOR-Spatial, a benchmark built on BEHAVIOR-1K that measures spatial question answering, point-based target grounding, and robot action to examine how VLM spatial understanding relates to VLA behavior. It comprises 3,256 spatial questions across 49 activities, 1,240 grounding queries across 14 manipulation tasks, and action evaluations covering those 14 tasks and 10 navigation tasks. Our manipulation protocol evaluates held-out configurations and instruction following when the requested target changes within a fixed training layout. The baseline achieves 41.6% on held-out configurations but only 16.1% under changed instructions. VLM adaptation and robot-data pretraining provide limited improvements, whereas oracle visual target cues raise these rates to 60.3% and 38.0%, respectively. Perception evaluations reveal policy-dependent correlations between VLM question-answering and grounding accuracy and VLA manipulation performance. Together, these findings motivate evaluating spatial instruction following alongside task completion and examining when spatial perception performance translates into robot behavior. Project website: https://arielchen07.github.io/behavior-spatial/.