Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Yolanda Bautista

Individual provider Assisted Living Facility (Behavioral Disturbances) · NPI 1235923954

Crystal Yolanda Bautista is an Assisted Living Facility (Behavioral Disturbances) in Queen Creek, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2025

Practice location Address checks out

21002 E Lark Dr
Queen Creek, AZ 85142-1627
Phone: (480) 338-3218
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Behavioral Disturbances) (primary) Taxonomy 3104A0630X · Licence 13096H (AZ)

Record details

NPI number1235923954
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 7, 2025
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025