Individual provider Active NPI

Herlin Gomez Pendas

  • Behavior Technician
  • Tampa, FL
National Provider Identifier
1821864091
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
23-305567 Issued in FL
Practice address
5051 Memorial Hwy Unit B
Tampa, FL 33634-7355
Phone
(813) 290-0779
Fax
(813) 290-0647
NPI assigned
Nov 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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 23-305567 FL Primary

Addresses

Primary practice location

5051 Memorial Hwy Unit B
Tampa, FL 33634-7355

Mailing address

4426 Leto Lakes Blvd Apt 103
Tampa, FL 33614-3754

Other names 1

  • Herlin Gomez Other name

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
23-305567FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1821864091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4426 LETO LAKES BLVD APT 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 MEMORIAL HWY UNIT B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347355",
            "telephone_number": "813-290-0779",
            "fax_number": "813-290-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ PENDAS",
        "first_name": "HERLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "23-305567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HERLIN",
            "last_name": "GOMEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.