Healthcare Provider Details

I. General information

NPI: 1578476404
Provider Name (Legal Business Name): SUN BAY ABA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 VETERANS BLVD STE 214
REDWOOD CITY CA
94063-1401
US

IV. Provider business mailing address

611 VETERANS BLVD STE 214
REDWOOD CITY CA
94063-1401
US

V. Phone/Fax

Practice location:
  • Phone: 347-543-6394
  • Fax:
Mailing address:
  • Phone: 347-543-6394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: BAHARAK MORADIFAR
Title or Position: PRESIDENT
Credential: MS
Phone: 347-543-6394