Joseph Gabriel Poe – Behavior Technician in Bono, AR

Key facts

NPI: 1962370288
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 28, 2025
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Heritage Therapy, L.L.C. Speech-Language Pathologist · Jonesboro, AR · NPI 1336584374

NPD (past)

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 since Nov 8, 2025	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 identifiers

Identifier	Type	State	Issuer
345682795	Medicaid	AR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 28, 2025.

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1962370288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 HIGHWAY 91 W",
            "city": "BONO",
            "state": "AR",
            "postal_code": "724168127",
            "telephone_number": "870-219-1027",
            "fax_number": "870-292-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 HIGHWAY 91 W",
            "city": "BONO",
            "state": "AR",
            "postal_code": "724168127",
            "telephone_number": "870-219-1027",
            "fax_number": "870-292-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POE",
        "first_name": "JOSEPH",
        "middle_name": "GABRIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345682795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bono, AR

All providers in Bono, AR · Behavior Technician in Arkansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.