Deidra Fernstrum, BCBA
NPI 1760983100 · Behavior Analyst · Jackson, MS
Deidra Fernstrum, BCBA is a Behavior Analyst provider in Jackson, MS (NPI 1760983100).
Provider details
- NPI number
- 1760983100
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- License
- 200041 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-02-21
- Last updated
- 2026-02-17
- Certified
- 2026-02-17
Frequently asked questions
- What is Deidra Fernstrum's NPI number?
- Deidra Fernstrum's National Provider Identifier (NPI) is 1760983100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Deidra Fernstrum's specialty?
- Deidra Fernstrum is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Deidra Fernstrum located?
- Deidra Fernstrum's practice location on file with NPPES is 6040 Interstate 55 North Frontage Road, Jackson, MS 39211.
- What is Deidra Fernstrum's phone number?
- The practice phone number listed in the NPPES registry for Deidra Fernstrum is (601) 401-0422.
- Is Deidra Fernstrum's NPI active?
- Yes — Deidra Fernstrum's NPI (1760983100) is active in the NPPES registry as of the last update on 2026-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.