Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Breiyanna L Jackson, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1356067052

Breiyanna L Jackson, COTA/L is an Occupational Therapy Assistant in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2022
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

8611 Lavender Ridge St
Las Vegas, NV 89131-1101
Phone: (702) 406-1149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA-3827 (NV)

Record details

NPI number1356067052
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedOctober 13, 2022
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

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