Active NPI
Bonnie Sue Laura Hernandez Vasquez
- Behavior Technician
- Tampa, FL
National Provider Identifier
1477438166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3109 W Dr Martin Luther King Jr Blvd Ste 500
Tampa, FL 33607-6220 - Phone
- (813) 289-0760
- NPI assigned
- Aug 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
3109 W Dr Martin Luther King Jr Blvd Ste 500
Tampa, FL 33607-6220
Mailing address
314 Eastlake Club Dr
Oldsmar, FL 34677-2459
Phone (727) 851-4217
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxim Healthcare Services, Inc | Past | Accepting new patients | |
| Maxim Healthcare Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Tampa, FL
- NPI 1538192240
-
- Home Health Agency
- Greensboro, NC
- NPI 1548297054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1477438166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 EASTLAKE CLUB DR",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346772459",
"telephone_number": "727-851-4217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3109 W DR MARTIN LUTHER KING JR BLVD STE 500",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076220",
"telephone_number": "813-289-0760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ VASQUEZ",
"first_name": "BONNIE",
"middle_name": "SUE LAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-11",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- Vivian Hernandez Rodriguez
- Gretel Hernandez Sobrino
- Luis Felix Hernandez Soler, APRN
- Evelyn Hernandez Sosa
- Mayerlin Hernandez Trujillo
- Caridad Hernandez- Delgado, RBT-24-344303
- Jacyra Hernandez-Garcia, RBT-23-263538
- Evelyn Hernandez-Gonzalez, PSYD
- Dayamis Hernandez-Jorcano, ARNP
- Aymara Lazara Hernandez-Machado, RBT-24-339931
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.