Ali Jane Gillette
Individual provider Active NPI Behavior Technician · Bono, AR
NPI 1669348561 · NPPES record last updated Oct 16, 2025
Key facts
- NPI
- 1669348561
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 677 Highway 91 W
Bono, AR 72416-8127 - Phone
- (870) 219-1027
- Fax
- (870) 292-3556
- NPI assigned
- Oct 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Therapy, L.L.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
677 Highway 91 W
Bono, AR 72416-8127
Mailing address
677 Highway 91 W
Bono, AR 72416-8127
Phone (870) 219-1027
Other providers in Bono, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.