Provider Demographics
NPI:1508665217
Name:BETTAGLIO, GABRIELA MARIA (RMFTI)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:MARIA
Last Name:BETTAGLIO
Suffix:
Gender:F
Credentials:RMFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4016 W RIVER PL APT 203
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-3233
Mailing Address - Country:US
Mailing Address - Phone:484-432-0972
Mailing Address - Fax:
Practice Address - Street 1:5536 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33707-1717
Practice Address - Country:US
Practice Address - Phone:727-851-9198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3975106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist