Individual
JAXON REECE CHADSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 BRIDGEPORT AVE # 405, SHELTON, CT 06484-4660
(860) 613-9930
Mailing address
24 NASH ST UNIT 1, NEW HAVEN, CT 06511-2616
(925) 989-0688
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
02/26/2025
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