Active NPI
Myracle Johnson
- Developmental - Behavioral Pediatrics Physician
- Killeen, TX
National Provider Identifier
1639088149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- RBT-26-2845002
- Practice address
- 3106 S W S Young Dr Ste B-204
Killeen, TX 76542-2000 - Phone
- (254) 651-1994
- NPI assigned
- Sep 2, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | RBT-26-2845002 | TX | Primary |
Addresses
Primary practice location
3106 S W S Young Dr Ste B-204
Killeen, TX 76542-2000
Mailing address
3106 S W S Young Dr Ste B-204
Killeen, TX 76542-2000
Phone (254) 651-1994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1639088149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3106 S W S YOUNG DR STE B-204",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765422000",
"telephone_number": "254-651-1994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3106 S W S YOUNG DR STE B-204",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765422000",
"telephone_number": "254-651-1994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MYRACLE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "TX",
"license": "RBT-26-2845002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.