IndividualActive
Shanikka Decosta
NPI 1730838756 · Day Training/Habilitation Specialist · Jacksonville, FL
Provider details
- NPI number
- 1730838756
- Entity type
- Individual
- Primary specialty
- Day Training/Habilitation SpecialistNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1615 Morgan St
Jacksonville, FL 32209-8100
Phone: (190) 425-0492
Approximate (ZIP-level) locationGet directions
Mailing address
1615 Morgan St
Jacksonville, FL 32209-8100
Registry dates
- Enumerated
- 2022-03-18
- Last updated
- 2022-03-18
- Certified
- 2022-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.