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CRYSTAL YOLANDA BAUTISTA
NPI 1235923954
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Queen Creek, AZ

Active since April 07, 2025
21002 E LARK DR, QUEEN CREEK, AZ 85142(480) 338-3218 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Crystal Yolanda Bautista NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL YOLANDA BAUTISTA (NPI 1235923954) is an individual assisted living, behavioral disturbances provider in Queen Creek, Arizona, licensed in Arizona (13096H) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1235923954
Entity TypeIndividualFemale
Primary Taxonomy3104A0630X
Provider Legal NameCRYSTAL YOLANDA BAUTISTA
Location Address21002 E LARK DRQueen Creek, AZ 85142-1627
Mailing Address21002 E Lark DrQueen Creek, AZ 85142-1627 · (480) 338-3218
Phone(480) 338-3218
Sole ProprietorYes
Enumeration DateApril 7, 2025
NPPES CertifiedApril 7, 2025
✔ NPI 1235923954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities
Taxonomy Code3104A0630X
License✔ Licensed in AZ · 13096H
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

21002 E LARK DR, Queen Creek, AZ 85142
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Frequently Asked Questions

What is Crystal Bautista's NPI number?

The NPI number assigned to this healthcare provider is 1235923954, enumerated as an "individual" on April 07, 2025.

Where is the provider located?

The provider is located at 21002 E LARK DR QUEEN CREEK, AZ 85142 and the phone number is (480) 338-3218.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 3104A0630X and a focus in Assisted Living, Behavioral Disturbances.