Search › Mississippi › 103K00000X
Deidra Fernstrum, BCBA
NPI 1760983100 · on the registry since 2018
Practice
- Address
- 6040 Interstate 55 North Frontage Road
Jackson, MS 39211 - Phone
- (601) 401-0422
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106E00000X
106S00000X - Licence states on file
- MS, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi