Healthcare Provider Details

I. General information

NPI: 1720653512
Provider Name (Legal Business Name): DESTINY DANIELLE BARRINGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2021
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15501 WESTON PKWY STE 130
CARY NC
27513-8641
US

IV. Provider business mailing address

2415 EARGLE RD
CHARLOTTE NC
28269-3015
US

V. Phone/Fax

Practice location:
  • Phone: 818-241-6780
  • Fax:
Mailing address:
  • Phone: 704-495-5804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0134000699
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License NumberA3158
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: