Angelique Michelle McKitrick
Behavior Analyst in Wake Forest, NC. Individual provider (NPI-1).
NPI number1023582467
StatusActive
Last updated in NPPESMar 24, 2026
Details
- NPI
- 1023582467
- Entity type
- Individual (NPI-1)
- Name
- Angelique Michelle McKitrick
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2019
- Certification date
- Mar 24, 2026
- Last updated
- Mar 24, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-22-57760 | NC | Yes |
| 172V00000X | Community Health Worker | – | – | |
| 103K00000X | Behavior Analyst | 937 | NC |
Practice location
11635 Northpark Dr Ste 100Wake Forest, NC 27587-9350
Phone 919-364-1172
Mailing address
11635 Northpark Dr Ste 100Wake Forest, NC 27587-9350
Phone 919-364-1172 · Fax 980-785-1114
Other practice locations
118 Oakmont Dr
Greenville, NC 27858-5936
Greenville, NC 27858-5936
Phone 855-223-7123
17462 Colima Rd
Rowland Heights, CA 91748-1633
Rowland Heights, CA 91748-1633
Phone 855-223-7123 · Fax 619-374-7134
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 25 Behavior Analyst providers in Wake Forest · All 1,588 providers in Wake Forest
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