Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Destiny Raven Clarke

Individual provider Behavior Technician · NPI 1790658532

Destiny Raven Clarke is a Behavior Technician in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

6131 Chamberlain Pl Apt 202
Winston Salem, NC 27103-7209
Phone: (910) 585-6206
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (NC)

Record details

NPI number1790658532
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 26, 2025
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

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