Individual provider Active NPI

Ibet Lopez Gomez

  • Behavior Technician
  • West Palm Beach, FL
National Provider Identifier
1316519820
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-116525 Issued in FL
Practice address
4965 Chacha CT Apt 39
West Palm Beach, FL 33415-5669
Phone
(561) 603-9352
NPI assigned
Jul 14, 2021
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-116525 FL Primary

Addresses

Primary practice location

4965 Chacha CT Apt 39
West Palm Beach, FL 33415-5669

Mailing address

5040 Palm Hill Dr Apt 135
West Palm Beach, FL 33415-5681
Phone (561) 603-9352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-20-116525FLMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1316519820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 PALM HILL DR APT 135",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334155681",
            "telephone_number": "561-603-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4965 CHACHA CT APT 39",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334155669",
            "telephone_number": "561-603-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ GOMEZ",
        "first_name": "IBET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-116525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.