Healthcare Provider Details

I. General information

NPI: 1215848106
Provider Name (Legal Business Name): ALTENOR THERAPEUTIC & BEHAVIORAL SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 QUABECK AVE APT 1
IRVINGTON NJ
07111-2850
US

IV. Provider business mailing address

68 QUABECK AVE APT 1
IRVINGTON NJ
07111-2850
US

V. Phone/Fax

Practice location:
  • Phone: 973-393-7085
  • Fax:
Mailing address:
  • Phone: 973-393-7085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CASSANDRA ALTENOR
Title or Position: CLINICAL MENTAL HEALTH THERAPIST
Credential: LPC
Phone: 973-393-7085