Individual provider · Type 1 NPI
Breiyanna L. Jackson, COTA/L
Occupational Therapy Assistant · Las Vegas, NV
Practice location
8611 Lavender Ridge St
Las Vegas, NV 89131-1101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | OTA-3827 (NV) |
Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…
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About NPI 1356067052
Breiyanna L. Jackson, COTA/L's National Provider Identifier is 1356067052, issued on Oct 13, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 16, 2026.