Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEIDRA MARIE FERNSTRUM, BCBA
ActiveBehavior Analyst · JACKSON, MS
Registration Details
- NPI Number
- 1760983100
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 21, 2018 (8.1633894668252 yrs)
- Last Updated
- Feb 17, 2026
- Licenses
-
200041 (MS)201008A (MN)
Practice Information
- Address
-
6040 INTERSTATE 55 NORTH FRONTAGE ROADJACKSON, MS, 39211Browse MS providers · Browse ZIP 39211
- Phone
- 6014010422
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Assistant Behavior Analyst
- Additional Specialty
- Behavior Technician
Other Behavior Analyst Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| NAOME KOBAYAKAWA | M.S. | 1750611786 |
| DR. SHEMEKA RENEA HAMLIN-PALMER | PH.D., MPH | 1487909057 |
| TIFFANY BROWN | — | 1457767204 |
| BREANNA NEWBORNE | — | 1780064949 |
| ELIZABETH LOWRY | M.S., BCBA, LBA | 1366995532 |
| LAURA KATHERINE BARKER | — | 1700361763 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.