SHANIKKA M DECOSTA NPI 1730838756

NPI Information

Shanikka M Decosta is a day training habilitation specialist in Jacksonville, FL. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. Shanikka M Decosta NPI is 1730838756. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1615 MORGAN ST
JACKSONVILLE, FL
ZIP 32209-100
Phone: (190) 425-0492

The enumeration date for this NPI number is 3/18/2022 and was last updated on 3/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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