Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khwadri Ascencio Wigfall

Individual provider Behavior Technician · NPI 1477337624

Khwadri Ascencio Wigfall is a Behavior Technician in Brentwood, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1191 Central Blvd Ste A
Brentwood, CA 94513-2253
Phone: (855) 223-7123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1477337624
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023
Mailing addressPo Box 33568, San Diego, CA 92163-3568

Other providers in Brentwood