Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760983100 Individual Practitioner Female Practitioner

Deidra Marie Fernstrum , BCBA

Behavior Analyst • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Deidra Fernstrum, BCBA is a registered healthcare professional specializing in Behavior Analyst in Jackson, MS. Practice services are available at 6040 INTERSTATE 55 NORTH FRONTAGE ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6040 Interstate 55 North Frontage Road

Jackson, MS 39211

Telephone 6014010422
Associated Practice Facility / Clinic
🏢 The Growing Tree, Llc Facility NPI 1508310335

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
15 Specialists

Practicing in Jackson, MS (198 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-17
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MS 200041

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Assistant Behavior Analyst

NUCC Taxonomy Code: 106E00000X

State License MN 201008A

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Brittany Bell , MA BCBA

Behavior Analyst

NPI 1083166201

MABCBA

NPI 1366995532

Master of Science, Board Certified Behavior Analyst, Licensed Behavior Analyst

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
👤
Provider Name / Credentials Updated February 17, 2026

Recorded as DEIDRA FERNSTRUM, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2026

Behavior Analyst (License #200041 in MS)

👤
Provider Name / Credentials Updated October 18, 2021

Recorded as DEIDRA UNGER, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2021

Assistant Behavior Analyst (License #201008A in MN)

📍
Updated Practice Location September 14, 2021

Registered at 6040 INTERSTATE 55 NORTH FRONTAGE ROAD, JACKSON, MS 39211 (Tel: 6014010422)

📍
Updated Business Mailing Address September 14, 2021

Registered at 1315 ROBERT DR, JACKSON, MS 392116337

NPI Profile Active February 21, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2018

Registered at 3361 36TH ST SE, KENTWOOD, MI 495122809 (Tel: 6169422522)

📍
Updated Business Mailing Address February 21, 2018

Registered at 3361 36TH ST SE, KENTWOOD, MI 495122809

👤
Provider Name / Credentials Updated February 21, 2018

Recorded as DEIDRA UNGER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2018

Behavior Technician

🟢
Initial NPI Registration & Enumeration February 21, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760983100
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2018
Last Update: February 17, 2026
Sole Proprietor: No

Mailing Address

1315 Robert Dr

Jackson, MS 392116337

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.