Provider Demographics
NPI:1356914956
Name:HINDS-CLARKE, AMIAYA CAREY (BCBA, LBA)
Entity type:Individual
Prefix:MRS
First Name:AMIAYA
Middle Name:CAREY
Last Name:HINDS-CLARKE
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:MS
Other - First Name:AMIAYA
Other - Middle Name:TYLYNN
Other - Last Name:CAREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCABA, LABA
Mailing Address - Street 1:12529 PETREL XING
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-2955
Mailing Address - Country:US
Mailing Address - Phone:540-903-6039
Mailing Address - Fax:
Practice Address - Street 1:9200 ARBORETUM PKWY STE 120
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-5401
Practice Address - Country:US
Practice Address - Phone:804-887-2990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA106E00000X
VA0133003706103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst