Individual
ANGELIQUE MICHELLE MCKITRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11635 NORTHPARK DR STE 100, WAKE FOREST, NC 27587-9350
(919) 364-1172
Mailing address
11635 NORTHPARK DR STE 100, WAKE FOREST, NC 27587-9350
(919) 364-1172
(980) 785-1114
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-57760
CA
103K00000X
Behavior Analyst
Primary
1-22-57760
NC
103K00000X
Behavior Analyst
937
NC
172V00000X
Community Health Worker
—
—
Other
Enumeration date
01/18/2019
Last updated
03/24/2026
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