County resource guide
Smith County, Texas
Local providers, school contacts, and support services for autism families in Smith County. Texas statewide resources also apply.
Local providers
9 listedDiagnostic clinics
Formal autism evaluations by developmental pediatricians, psychologists, or neuropsychologists.
Gilmer · multi-county
CHRISTUS Good Shepherd — Upshur County Families
Upshur County families in the Gilmer area access the CHRISTUS Good Shepherd Health System in Longview (Gregg County, about 25 miles east) for developmental pediatric services and autism evaluation referrals. CHRISTUS Good Shepherd is the primary academic health system for the Longview-area East Texas region.
Longview (Gregg County, ~25 min east) is the primary medical hub for Upshur County. UT Health East Texas network is also accessible.
Tyler
UT Health East Texas — Developmental Pediatrics
UT Health East Texas, the major academic health system in Tyler, provides developmental pediatric evaluations and autism assessments for Smith County and surrounding East Texas. Coordinated care with UT Health specialists across disciplines.
UT Health is the primary academic medical center for East Texas — largest specialist network in the region.
Henderson · multi-county
UT Health East Texas — Rusk County Referrals
Rusk County families seeking autism evaluations access the UT Health East Texas network, centered in Tyler (Smith County, about 30 miles north). Henderson is a smaller community without its own developmental pediatric specialists, making UT Health Tyler the primary evaluation destination for Rusk County families.
Tyler (Smith County, ~30 min) is the primary medical hub for Rusk County. Get on the UT Health waitlist early.
ABA therapy
Applied Behavior Analysis therapy — typically requires insurance authorization.
Tyler
Action Behavior Centers — Tyler
Major Texas ABA chain with a Tyler clinic serving Smith County and East Texas. BCBA-supervised center-based and in-home programs. Accepts most commercial insurance and Texas Medicaid under the ABA mandate.
Call the Tyler clinic directly — Action Behavior has multiple TX locations.
Speech therapy
Speech-language pathology, AAC, pragmatic language, and feeding.
Tyler
UT Health East Texas — Speech-Language Pathology
Pediatric speech-language pathology through UT Health East Texas, including autism-specific communication therapy, AAC evaluations, and social language groups for children in the Tyler area.
Parent & family support
Parent groups, sibling programs, and family peer support.
Tyler · multi-county
Autism Society of Texas — East Texas Chapter
East Texas chapter providing support groups, family events, and resource navigation for autistic individuals and families in Tyler and surrounding counties.
Henderson · multi-county
Autism Society of Texas — East Texas Chapter (Rusk County)
East Texas chapter providing support and resource navigation for Rusk County families. Parent support groups and connections to East Texas providers, connected to the broader Autism Society network.
Advocacy & legal
Legal advocates, special education advocates, and disability rights organizations.
Tyler · multi-county
Texas Parent to Parent (TxP2P) — East Texas
Statewide PTI center connecting Smith County and East Texas families to IEP coaching, peer mentors, and disability resources. Free for all Texas families.
Henderson · multi-county
Texas Parent to Parent (TxP2P) — Rusk County
Statewide PTI connecting Rusk County families to IEP coaching, peer mentors, and disability resources. Free for all Texas families.
Federally funded PTI — no cost to families.
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See all Texas resources
Waivers, PTI centers, and state programs apply to all families in Texas.
Texas state guide →