County resource guide
Autism Resources in Butte County, South Dakota
Local providers, school contacts, and support services for autism families in Butte County. South Dakota statewide resources also apply.
Provider directory
Local Providers14 providers in Butte County
About our listings
Provider listings on Autism Parent Club are submitted by practices or researched from public sources. All listings are reviewed for accuracy before publication. To suggest a correction, use the “Suggest a correction” link below.
Diagnostic clinics
Formal autism evaluations by developmental pediatricians, psychologists, or neuropsychologists.
Belle Fourche · multi-county
Monument Health Belle Fourche — Developmental Referrals
Monument Health's Belle Fourche clinic serves Butte County families with primary care and developmental referrals. Rapid City (~60 miles) is the primary autism evaluation hub for the northern Black Hills region.
Belle Fourche is the geographic center of the nation. Rapid City is the primary specialty hub.
Buffalo · multi-county
Monument Health Belle Fourche — Developmental Referrals (Harding County)
Harding County families in Buffalo access developmental services through Monument Health Belle Fourche (~60 miles south) or Rapid City (~120 miles). Harding is SD's largest county by area and one of the least populated in the nation.
Harding County is extremely remote. Telehealth is essential — the nearest specialist is 60+ miles.
Bison · multi-county
Monument Health Belle Fourche — Developmental Referrals (Perkins County)
Perkins County families in Bison access developmental services through Monument Health Belle Fourche (~80 miles south) or Rapid City (~110 miles). Perkins County is one of SD's most isolated, bordering Montana and North Dakota.
Perkins County is extremely remote. Telehealth is critical for all specialty services.
Spearfish · multi-county
Monument Health Spearfish — Pediatric Services
Monument Health clinic in Spearfish offers pediatric and behavioral health services to Lawrence County and the northern Black Hills. Coordinates referrals to Monument's Rapid City autism specialists.
Early Intervention (0–3)
Free services for children under 3 under IDEA Part C.
Spearfish · multi-county
SD Birth to 3 — Lawrence County
IDEA Part C early intervention services for children under 3 in Lawrence County. Free evaluations and home-based therapy coordinated through the SD Department of Health.
FREE under IDEA Part C.
Belle Fourche · multi-county
South Dakota Birth to 3 — Butte County
South Dakota's Part C early intervention program for children birth–3 in Butte County. Provides in-home therapy, service coordination, and family support at no cost to eligible families.
FREE under IDEA Part C for eligible children birth to age 3.
ABA therapy
Applied Behavior Analysis therapy — typically requires insurance authorization.
Belle Fourche · multi-county
Centria Autism — Telehealth ABA (Butte County)
Telehealth ABA therapy for Butte County families in Belle Fourche and the northern Black Hills. BCBA-supervised parent training and behavior support. SD Medicaid and TRICARE accepted.
SD Medicaid covers ABA therapy. Rapid City in-person ABA is ~60 min away.
Buffalo · multi-county
Centria Autism — Telehealth ABA (Harding County)
Telehealth ABA therapy is the only practical ABA option for Harding County families in this vast, nearly empty northwest SD county. BCBA-supervised parent training. SD Medicaid accepted.
Telehealth is critical — no in-person autism services exist in Harding County.
Bison · multi-county
Centria Autism — Telehealth ABA (Perkins County)
Telehealth ABA therapy is the only realistic ABA option for Perkins County families. This northwestern SD county borders ND and MT — no in-person ABA provider exists within reasonable distance. SD Medicaid accepted.
SD Medicaid covers ABA therapy. Belle Fourche is the nearest hub at ~80 miles.
Parent & family support
Parent groups, sibling programs, and family peer support.
Belle Fourche · multi-county
Autism Society of South Dakota
South Dakota's statewide autism chapter connects Butte County families to support groups and resource navigation. Rapid City and Black Hills region chapter events are accessible ~60 miles from Belle Fourche.
Advocacy & legal
Legal advocates, special education advocates, and disability rights organizations.
Belle Fourche · multi-county
South Dakota Parent Connection
Free IEP advocacy and one-on-one support from SD's federally funded PTI for Butte County families. SDPC provides statewide phone and remote support for families in the northern Black Hills.
FREE. Federally funded PTI.
Buffalo · multi-county
South Dakota Parent Connection
Free IEP advocacy and one-on-one support from SD's federally funded PTI for Harding County families. Remote consultation is the only mode of support in one of the nation's most isolated rural communities.
FREE. Federally funded PTI. Harding County has fewer than 1,500 residents.
Bison · multi-county
South Dakota Parent Connection
Free IEP advocacy and one-on-one support from SD's federally funded PTI for Perkins County families. Remote consultation is the only mode of support in this extremely isolated SD-MT-ND border region.
FREE. Federally funded PTI.
Spearfish · multi-county
South Dakota Parent Connection — Black Hills Outreach
SDPC IEP advocacy and parent training for Lawrence County. Deadwood-area and Spearfish families can access phone and in-person support through SDPC's Black Hills outreach.
FREE. Federally funded PTI.
For providers
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Helpful guides
Guides for Butte County families
Step-by-step help on the topics that matter most.
School & IEP
Navigating the IEP process
Your rights under IDEA, how evaluations work, and what every IEP section means.
Finding help
ABA, OT, speech and waitlists
How to find qualified providers, navigate insurance, and get off waitlists faster.
Getting started
Where to start after diagnosis
A week-by-week checklist for the first 90 days — from evaluation to early intervention.
Benefits & money
SSI, Medicaid waivers, ABLE accounts
Federal benefits your child may qualify for and how to apply without losing your spot.
Mental health
Co-occurring conditions and support
Managing anxiety, ADHD, and depression alongside an autism diagnosis.
Daily life
Sensory processing and OT
Understanding sensory needs, sensory diets, and how occupational therapy helps.
Adulthood
Employment, housing, legal planning
Supported employment, housing options, guardianship alternatives, and ABLE accounts.
See all South Dakota resources
Waivers, PTI centers, and state programs apply to all families in South Dakota.
South Dakota state guide →Nearby counties in South Dakota
See something that needs fixing?
Providers move, phone numbers change, and links break — it happens. If anything on this page is out of date, wrong, or no longer working, please tell us and we’ll fix it. Keeping this accurate for autism families is the whole reason we’re here.
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