County resource guide
Autism Resources in Brewster County, Texas
Local providers, school contacts, and support services for autism families in Brewster County. Texas statewide resources also apply.
Provider directory
Local Providers9 providers in Brewster 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.
Alpine
Big Bend Regional Medical Center — Developmental Referrals
Big Bend Regional Medical Center in Alpine is the sole hospital in Brewster County — the largest county in Texas by area. Developmental referrals connect families to Midland (~160 miles north) or El Paso (~200 miles west). Sul Ross State University is located in Alpine. Telehealth autism evaluation is the only realistic evaluation option for most Brewster County families.
Brewster County is the largest Texas county by area. Telehealth autism evaluation is the only practical option. Contact TTUHSC El Paso telehealth programs directly.
Sanderson · multi-county
Big Bend Regional Medical Center — Trans-Pecos Referrals
Terrell County families in Sanderson travel to Big Bend Regional Medical Center in Alpine (~100 miles) or to Midland for autism evaluations. This is one of the most remote counties in Texas.
Marfa · multi-county
El Paso Children's Hospital — Presidio/Marfa Referrals
Presidio County families in Marfa and Presidio travel to El Paso (~200 miles) or Big Bend Regional Medical Center for initial screening. El Paso Children's is the primary autism evaluation center for Trans-Pecos families.
Early Intervention (0–3)
Free services for children under 3 under IDEA Part C.
Alpine
Texas Early Childhood Intervention (ECI) — Brewster County / Big Bend
Texas ECI provides free in-home developmental evaluation and early intervention for children 0–3 in Brewster County. ECI's home-visiting model is the most viable early intervention approach in this extremely remote Big Bend region county.
FREE. ECI is the most critical early resource given Brewster County's isolation. Call 1-800-628-5115.
ABA therapy
Applied Behavior Analysis therapy — typically requires insurance authorization.
Sanderson · multi-county
El Paso ABA Centers — Trans-Pecos Telehealth
El Paso ABA providers offer telehealth ABA supervision for Terrell County families. In-person services require travel to Midland or El Paso; Texas's ABA mandate applies to eligible plans.
Speech therapy
Speech-language pathology, AAC, pragmatic language, and feeding.
Alpine
Sul Ross State University — Communication Disorders Referrals
Sul Ross State University in Alpine provides some community-oriented services. Speech-language resources are extremely limited in Brewster County — Sul Ross may offer referral pathways and connect families to university-based services. Telehealth speech therapy from Midland or El Paso providers is the primary access route.
Brewster County has extremely limited local therapy services. Telehealth is critical. Sul Ross may facilitate connections to regional resources.
Parent & family support
Parent groups, sibling programs, and family peer support.
Alpine · multi-county
Autism Society of Texas — Big Bend Region (Brewster County)
Brewster County families in the Big Bend region connect to the Autism Society of Texas through virtual communities. Online support groups and resource navigation are the primary means of community connection for families in one of the most remote counties in the continental United States.
Fort Stockton · multi-county
Autism Society of Texas — Trans-Pecos / Big Bend Region
Pecos County families connect to the Autism Society of Texas through online communities. Virtual support groups and resource navigation for one of the most isolated regions in the state.
Advocacy & legal
Legal advocates, special education advocates, and disability rights organizations.
Alpine
Partners Resource Network — Texas PTI (Brewster County)
Partners Resource Network provides free IEP advocacy and special education rights support for Brewster County families through remote consultation. Alpine ISD is the primary school district — PTI support is critical given limited local special education expertise.
FREE. Remote consultation statewide. Essential for one of Texas's most isolated counties.
For providers
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Helpful guides
Guides for Brewster 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 Texas resources
Waivers, PTI centers, and state programs apply to all families in Texas.
Texas state guide →Nearby counties in Texas
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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