MEDICARE: JAXON REECE CHADSEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1972191765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAXON REECE CHADSEY

Provider Business Mailing Address
First Line	:	24 NASH ST UNIT 1
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06511-2616
Country	:	US
Telephone Number	:	925-989-0688
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 BRIDGEPORT AVE # 405
Second Line	:
City	:	SHELTON
State	:	CT
Zip	:	06484-4660
Country	:	US
Telephone Number	:	860-613-9930
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2021
Last Update Date	:	02/26/2025

Similar Medicare Providers

1689533689 — HANNAH KENNY
Practice Location Address:

1000 BRIDGEPORT AVE STE 405
SHELTON, CT
06484-4660

Practice Phone: 203-993-6592
Practice Fax:

1104848134 — PEDIATRIC SERVICES OF AMERICA, LLC
Practice Location Address:

1000 BRIDGEPORT AVE STE 309
SHELTON, CT
06484-4660

Practice Phone: 203-381-1530
Practice Fax: 203-381-1535

1760562243 — MS. ELIZA LILIANA BORECKA MA, MSW, LCSW
Practice Location Address:

1000 BRIDGEPORT AVE STE 101
SHELTON, CT
06484-4660

Practice Phone: 203-929-2400
Practice Fax: 203-929-5202

1700285319 — MR. RAMON ANTONIO NIEVES JR. LCSW
Practice Location Address:

1000 BRIDGEPORT AVE
SHELTON, CT
06484-4660

Practice Phone: 203-712-9998
Practice Fax:

1205487477 — STERLING CENTER, LLC
Practice Location Address:

1000 BRIDGEPORT AVE
SHELTON, CT
06484-4660

Practice Phone: 203-929-2400
Practice Fax: 203-929-5202

1689225849 — SPECIALIZED TREATMENT SERVICES, LLC
Practice Location Address:

1000 BRIDGEPORT AVE STE 101
SHELTON, CT
06484-4660

Practice Phone: 203-929-2400
Practice Fax: 203-929-5202

Directions to “ JAXON REECE CHADSEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.