Provider Demographics
NPI:1043758899
Name:SLUSSER, WILLIAM III (BCBA, COBA)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:SLUSSER
Suffix:III
Gender:M
Credentials:BCBA, COBA
Other - Prefix:
Other - First Name:BILL
Other - Middle Name:
Other - Last Name:SLUSSER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BCBA, COBA
Mailing Address - Street 1:1628 E DOROTHY LN
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-3810
Mailing Address - Country:US
Mailing Address - Phone:937-365-7455
Mailing Address - Fax:937-600-6071
Practice Address - Street 1:1628 E DOROTHY LN
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-3810
Practice Address - Country:US
Practice Address - Phone:937-750-8236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH313103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst