1043758899 NPI number — WILLIAM SLUSSER III BCBA, COBA

Table of content: (NPI 1134317472)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043758899 NPI number — WILLIAM SLUSSER III BCBA, COBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SLUSSER
Provider First Name:
WILLIAM
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
III
Provider Credential Text:
BCBA, COBA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SLUSSER
Provider Other First Name:
BILL
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
BCBA, COBA
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1043758899
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/17/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1628 E DOROTHY LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KETTERING
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45429-3810
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
937-365-7455
Provider Business Mailing Address Fax Number:
937-600-6071

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4134 LINDEN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DAYTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45432-3043
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-365-7455
Provider Business Practice Location Address Fax Number:
937-600-6071
Provider Enumeration Date:
02/01/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103K00000X , with the licence number: 313 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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