Angelique Michelle McKitrick

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-57760 Issued in NC

Practice address

11635 Northpark Dr Ste 100
Wake Forest, NC 27587-9350

Phone

(919) 364-1172

NPI assigned

Jan 18, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

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    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1023582467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11635 NORTHPARK DR STE 100",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879350",
            "telephone_number": "919-364-1172",
            "fax_number": "980-785-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11635 NORTHPARK DR STE 100",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879350",
            "telephone_number": "919-364-1172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Oakmont Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278585936",
            "country_code": "US",
            "telephone_number": "855-223-7123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17462 Colima Rd",
            "address_purpose": "LOCATION",
            "city": "Rowland Heights",
            "state": "CA",
            "postal_code": "917481633",
            "country_code": "US",
            "telephone_number": "855-223-7123",
            "fax_number": "619-374-7134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKITRICK",
        "first_name": "ANGELIQUE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-22-57760",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "937",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer J Wright McDougal, PHD
• Kahlie Brianne McDuffie, COTA
• Miranda McHugh, CCC-SLP
• Laura Elizabeth McIntyre, LCSW
• Daniel Thomas McKearney, PA-C
• Rick McKoy, LPCA
• Mykaluh Catherine McLamb, LCMHC-A
• Mary Jean McLean
• McNally Psychological Consultants, Incorporated
• Matthew William McNally, M.A., LPA, CHSP-PA

• Behavior Analyst in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.