Individual
BRAELYN RIESEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
321 GENESEE ST, ONEIDA, NY 13421-2611
(315) 363-6000
Mailing address
321 GENESEE ST, ONEIDA, NY 13421-2611
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131156
NY
106S00000X
Behavior Technician
Primary
23258319
NY
Other
Enumeration date
06/01/2023
Last updated
08/04/2026
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