Organization Active NPI

Bear Tracks Autism Center

  • Behavior Analyst
  • Fort Worth, TX
National Provider Identifier
1780474940
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEAR TRACKS AUTISM CENTER
Practice address
9713 Sierra Grande Dr
Fort Worth, TX 76140-4756
Phone
(214) 708-8621
NPI assigned
May 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Everardo Alexander MorenoNPI 1578031092
Title
Owner
Phone
(214) 249-1993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

9713 Sierra Grande Dr
Fort Worth, TX 76140-4756

Mailing address

9713 Sierra Grande Dr
Fort Worth, TX 76140-4756
Phone (214) 249-1993

Other identifiers 1

IdentifierTypeStateIssuer
519154601MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1780474940",
    "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": "214-249-1993",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR TRACKS AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-10",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "EVERARDO",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-249-1993"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519154601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.