Individual
MARISSA GAYLE HEADRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13185 OLD NASHVILLE HWY, SMYRNA, TN 37167-6309
(615) 560-6622
Mailing address
3100 MELISSA CT, SMYRNA, TN 37167-8370
(270) 819-0367
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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