Everardo Alexander Moreno, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

5764 Issued in TX

Practice address

9713 Sierra Grande Dr
Fort Worth, TX 76140-4756

Phone

(214) 708-8621

Fax

(214) 975-2577

NPI assigned

Nov 2, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bear Tracks Autism Center

  • Behavior Analyst
  • Fort Worth, TX
  • NPI 1780474940
  NPD Authorized official

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1578031092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9713 SIERRA GRANDE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761404756",
            "telephone_number": "214-778-1153",
            "fax_number": "214-975-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9713 SIERRA GRANDE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761404756",
            "telephone_number": "214-708-8621",
            "fax_number": "214-975-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "EVERARDO",
        "middle_name": "ALEXANDER",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-02",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5764",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "1744299",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melba A. Moreno-Lofgren, S.L.P.
• Alexis Jean Moreno, RPH, PHARMD
• Amee Jean Moreno, CPNP
• Armando Luis Moreno, DO, MPH
• Celeste Desiree Moreno, DDS
• Hollie Dollar Moreno, M.C.D, CCC-SLP
• Nancy Moreno, NP
• Sandra G Moreno, M.D.
• Sophia Moreno, LCSW
• Vincent Michael Moretti, M.D.

• Behavior Analyst in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.