Organization
BEAR TRACKS AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVERARDO ALEXANDER MORENO (OWNER)
(214) 249-1993
Entity
Organization
Contact information
Practice address
9713 SIERRA GRANDE DR, FORT WORTH, TX 76140-4756
(214) 708-8621
Mailing address
9713 SIERRA GRANDE DR, FORT WORTH, TX 76140-4756
(214) 249-1993
(214) 975-2577
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
519154601
—
TX
Enumeration date
05/10/2025
Last updated
06/29/2026
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