Provider Demographics
NPI:1679724454
Name:CORTOPASSI, SONJA SCHAFF (MS, BCBA)
Entity type:Individual
Prefix:MRS
First Name:SONJA
Middle Name:SCHAFF
Last Name:CORTOPASSI
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21870 ADA ST
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-6304
Mailing Address - Country:US
Mailing Address - Phone:510-908-1622
Mailing Address - Fax:
Practice Address - Street 1:21870 ADA ST
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-6304
Practice Address - Country:US
Practice Address - Phone:510-908-1622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA1-13-14660103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health