County resource guide
Autism Resources in Presidio County, Texas
Local providers, school contacts, and support services for autism families in Presidio County. Texas statewide resources also apply.
Presidio County is a remote Trans-Pecos county centered on Marfa and Presidio on the Rio Grande. Marfa ISD and Presidio ISD serve local families. Most autism services require travel to Midland-Odessa or El Paso; telehealth is essential.
Provider directory
Local Providers8 providers in Presidio 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.
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.
Fort Davis · multi-county
El Paso Children's Hospital — Davis Mountains Referrals
Jeff Davis County families in Fort Davis travel to El Paso Children's Hospital (~165 miles) for autism evaluations. This is one of the most remote counties in Texas — telehealth pre-screening is strongly recommended.
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.
Marfa
Texas ECI — Far West Texas Region
Texas ECI serves Presidio County children under 3 with bilingual home visits. Marfa and Presidio are among the most remote ECI service areas in Texas.
ABA therapy
Applied Behavior Analysis therapy — typically requires insurance authorization.
Marfa · multi-county
El Paso ABA Centers — Big Bend Telehealth
El Paso ABA providers offer telehealth ABA supervision for Presidio County families. In-person services require travel to El Paso; Texas's ABA mandate applies to eligible plans.
Fort Davis · multi-county
El Paso ABA Centers — Trans-Pecos Telehealth
El Paso ABA providers offer telehealth ABA supervision and periodic in-home services to Jeff Davis County families. Texas's ABA insurance mandate applies to eligible plans.
Speech therapy
Speech-language pathology, AAC, pragmatic language, and feeding.
Marfa
Marfa ISD — Bilingual Special Education
Marfa ISD provides bilingual (English/Spanish) speech-language services for eligible students. Presidio ISD also serves the border community with bilingual autism-related supports.
Occupational therapy & sensory
Occupational therapy, sensory integration, and sensory diets.
Marfa
West Texas Therapy Network — Presidio Telehealth
Telehealth OT consultations from El Paso serve Presidio County families. Bilingual services available for Spanish-speaking families in Presidio and Ojinaga border communities.
For providers
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Helpful guides
Guides for Presidio 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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