{
"Npi": {
"NPI": "1356914956",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HINDS-CLARKE",
"FirstName": "AMIAYA",
"MiddleName": "CAREY",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "BCBA, LBA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "CAREY",
"OtherFirstName": "AMIAYA",
"OtherMiddleName": "TYLYNN",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "BCABA, LABA",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "12529 PETREL XING",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MIDLOTHIAN",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "23112-2955",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "540-903-6039",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9200 ARBORETUM PKWY STE 120",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORTH CHESTERFIELD",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "23236-5401",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "804-887-2990",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/21/2021",
"LastUpdateDate": "06/28/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "106E00000X",
"TaxonomyName": "Assistant Behavior Analyst",
"LicenseNumber": null,
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "103K00000X",
"TaxonomyName": "Behavior Analyst",
"LicenseNumber": "0133003706",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}