Tabatha Orisa Li

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4280 Sergeant Rd
Sioux City, IA 51106-4611

Phone

(515) 207-5251

NPI assigned

Apr 29, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Tabatha Orisa Grissom Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1386432359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 SERGEANT RD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 SERGEANT RD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064611",
            "telephone_number": "515-207-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "TABATHA",
        "middle_name": "ORISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@stridecenters.com",
            "affiliation": "N",
            "address_1": "4280 Sergeant Rd",
            "city": "Sioux City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "511064611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TABATHA",
            "last_name": "GRISSOM",
            "middle_name": "ORISA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paula Kate Lepon
• Tyler Jon Lesko, PMHNP-BC
• Melissa Ann Levering, FNP-BC, NP-C
• Gary Lewis, LSW
• Wayne Anthony Lewis, DDS
• Shayna Beth Lichten, DMD
• Liem Som Oei MD PC
• Joseph Don Liewer, M.D.
• Lilly Family Dentistry, P.C.
• Jane M. Lilly, D.D.S.

• Behavior Technician in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Behavior Technician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.