OTR/L — Licensed Occupational Therapist
Occupational Therapist, Registered & Licensed (OTR/L)
Kaylen Fletcher holds the OTR/L credential — the standard professional license for occupational therapists in the United States. To earn OTR/L status, a therapist must complete an accredited graduate-level occupational therapy program, pass the National Board for Certification in Occupational Therapy (NBCOT) examination, and maintain active state licensure.
Kaylen's OTR/L license has been active since her graduation in 2015 and reflects her commitment to professional practice, continuing education, and ethical standards of care.
DIRFloortime® Certificate of Proficiency
DIRFloortime® Certificate of Proficiency
The DIRFloortime® Certificate of Proficiency is the highest level of certification awarded by the Interdisciplinary Council on Development and Learning (ICDL). It recognizes clinicians who have demonstrated deep mastery of the DIRFloortime® model — a relationship-based, developmental framework for understanding and supporting children's functional emotional development.
Earning this certification requires completing advanced coursework, supervised clinical hours, case conceptualization, and a rigorous evaluation of one's clinical application of the model. Kaylen is one of a select group of clinicians nationwide to hold this designation.
DIRFloortime® Practitioner (DIR-Proficient)
In addition to the Certificate of Proficiency, Kaylen holds the DIR-Proficient practitioner designation — confirming her active clinical application of the DIRFloortime® model with children and families. Her work is grounded in the core principles of developmental, individual-difference, and relationship-based practice.
What is DIRFloortime®?
The DIR® (Developmental, Individual Difference, Relationship-based) model was developed by Dr. Stanley Greenspan and Dr. Serena Wieder. It is a comprehensive framework for evaluating and supporting children with developmental challenges. DIRFloortime® — the applied therapeutic approach within the model — uses the power of play and child-led interaction to build developmental foundations across emotional, social, cognitive, and communication domains.
Unlike scripted or drill-based approaches, DIRFloortime® follows the child's interests and emotional cues. The therapist enters the child's world — joining them in play — to expand their capacity for engagement, connection, and development.
Academic background
Master of Science in Occupational Therapy
Kaylen earned her Master of Science in Occupational Therapy from the University of Tennessee Health Science Center (UTHSC) — one of the nation's leading academic health science centers. UTHSC's OT program is accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) and is known for its rigorous, clinically-focused curriculum.
Her graduate training prepared her for evidence-based practice across the lifespan, with a particular passion for pediatric populations that she has carried throughout her career.
University of Tennessee Health Science Center
Master of Science in Occupational Therapy · OTR/L Licensed Practitioner
Credentials at a glance
OTR/L
Registered & Licensed Occupational Therapist
DIR Certificate of Proficiency
Highest level DIRFloortime® certification
Master's Degree
MS in Occupational Therapy, UTHSC 2015
DIR-Proficient
Active DIRFloortime® practitioner designation