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 1:219 N KING ST UNIT 116
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-2569
Mailing Address - Country:US
Mailing Address - Phone:484-432-0972
Mailing Address - Fax:
Practice Address - Street 1:722 YORKLYN RD STE 400
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-8740
Practice Address - Country:US
Practice Address - Phone:302-235-3398
Practice Address - Fax:302-543-2029
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEFT-0010173106H00000X
FL3975106H00000X
FLMT5325106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist