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Angelique Michelle Mckitrick

Behavior Analyst β€’ Wake Forest, NC

Active NPI 1023582467 Individual Practitioner Female Practitioner
Practice location in NPPES

11635 Northpark Dr Ste 100
Wake Forest, NC 275879350

Call 9193641172 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11635 Northpark Dr Ste 100

Wake Forest, NC 275879350

Telephone 9193641172
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Greenville, NC; Rowland Heights, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Wake Forest and North Carolina

18 active clinicians are listed under Behavior Analyst with a practice address in Wake Forest, NC (2,349 in North Carolina).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Wake Forest

0% of these 18 clinicians have the CMS telehealth indicator.

0% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-24
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES NC 1-22-57760

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Community Health Worker

NUCC Taxonomy Code: 172V00000X

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES NC 937

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: North Carolina Medical Board.
Look Up on State Board Site

Secondary Practice Locations

118 Oakmont Dr

Greenville, NC 278585936

Phone: 8552237123

17462 Colima Rd

Rowland Heights, CA 917481633

Phone: 8552237123

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location March 24, 2026

Registered at 11635 NORTHPARK DR STE 100, WAKE FOREST, NC 275879350 (Tel: 9193641172)

πŸ“
Updated Business Mailing Address March 24, 2026

Registered at 11635 NORTHPARK DR STE 100, WAKE FOREST, NC 275879350 (Tel: 9193641172)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2025

Community Health Worker

πŸ“
Updated Business Mailing Address February 10, 2024

Registered at PO BOX 33568, SAN DIEGO, CA 921633568 (Tel: 8552237123)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2024

Behavior Analyst (license number reported to NPPES: NC 937)

πŸ‘€
Provider Name / Credentials Updated March 22, 2023

Recorded as ANGELIQUE MCKITRICK

πŸ“
Updated Practice Location March 03, 2022

Registered at 17462 COLIMA RD, ROWLAND HEIGHTS, CA 917481633 (Tel: 8552237123)

πŸ“
Updated Business Mailing Address March 03, 2022

Registered at 16782 VON KARMAN AVE STE 11, IRVINE, CA 926062417 (Tel: 8552237123)

βœ…
NPI Profile Active January 18, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 18, 2019

Registered at 5350 MACHADO LN, CULVER CITY, CA 902308800 (Tel: 3107379393)

πŸ“
Business Mailing Address (Initial Record) January 18, 2019

Registered at 5350 MACHADO LN, CULVER CITY, CA 902308800 (Tel: 3107379393)

πŸ‘€
Provider Name / Credentials (Initial Record) January 18, 2019

Recorded as ANGELIQUE BORDEN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2019

Community Health Worker

🟒
Initial NPI Registration & Enumeration January 18, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1023582467
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2019
Last Update: March 24, 2026
Sole Proprietor: No

Mailing Address

11635 Northpark Dr Ste 100

Wake Forest, NC 275879350

Phone: 9193641172

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.