County resource guide
Autism Resources in Grayson County, Virginia
Local providers, school contacts, and support services for autism families in Grayson County. Virginia statewide resources also apply.
Grayson County — home to Independence — is in the far southwestern mountains of Virginia. Provider availability is extremely limited; families must travel to Galax, Radford, or Bristol for most specialized autism services. PEATC provides free statewide IEP advocacy, and Virginia's Infant and Toddler Connection provides EI for children under 3.
Provider directory
Local Providers21 providers in Grayson 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.
Hillsville · multi-county
Carilion Children's — Carroll County Referral Pathway
Carroll County (Hillsville) families access Carilion Children's in Roanoke (~70 miles north) for comprehensive autism evaluations. Grayson Community Hospital, part of Carilion's network, is the nearest local hospital in Galax (~10 miles south), but complex evaluations require the Roanoke campus.
Roanoke (~70 mi north) is primary for autism evaluation. Galax Carilion Grayson Community Hospital can initiate referrals.
Roanoke · multi-county
Carilion Children's — Developmental & Behavioral Pediatrics
Carilion Children's in Roanoke is the primary regional center for autism evaluations serving Grayson County families. The drive from Independence or Galax is approximately 1.5–2 hours, but Carilion is the closest major pediatric specialty center for this remote Southwest Virginia county.
Grayson is one of Virginia's most isolated counties for pediatric specialty care. Plan for a 1.5–2 hr drive. Ask about telehealth pre-screening to reduce trips. Bristol, TN/VA is also an option.
Roanoke · multi-county
Carilion Children's — Developmental & Behavioral Pediatrics
Carilion Children's in Roanoke is the primary regional center for autism evaluations serving Floyd County families. The drive from Floyd is approximately 35–40 miles north on the Blue Ridge Parkway corridor. Telehealth is critical for a county with no hospital of its own.
Floyd has no hospital. Roanoke (~35 mi north) is the primary hub. Telehealth is essential for follow-up and ABA supervision.
Marion · multi-county
Carilion Children's — Smyth County Developmental Referral
Carilion Clinic's network is the primary specialty care resource for Smyth County (Marion). Mountain States Health in Johnson City, TN (~35 miles south) is an alternative for many SW Virginia families. For autism evaluations, Carilion in Roanoke (~80 miles north) is the primary academic center destination.
Mountain States Health (Johnson City, TN, ~35 mi south) is also accessible for Smyth County families and sometimes has shorter waitlists.
Bland · multi-county
Carilion Clinic — Telehealth Developmental Pediatrics (Bland)
Carilion Clinic's telehealth developmental pediatrics services reach Bland County families who face significant travel to Roanoke. Virtual autism evaluations and follow-up care reduce the burden of distance for this remote I-77 corridor community.
Telehealth preferred for Bland County. Carilion Roanoke is the nearest major center.
Christiansburg · multi-county
Carilion New River Valley — Referral Hub (Galax)
Carilion New River Valley Medical Center in Christiansburg is a key referral center for Galax City families seeking autism evaluations. Galax is also near the Blue Ridge Mental Health system.
Wytheville · multi-county
Carilion New River Valley Medical Center — Developmental Pediatrics (Wythe County)
Carilion's New River Valley Medical Center in Christiansburg is the primary developmental evaluation referral for Wythe County families. Wytheville's I-81 corridor location (~45 miles from CNRV) also provides access to the broader Roanoke Valley and Carilion network.
Early Intervention (0–3)
Free services for children under 3 under IDEA Part C.
Independence
Grayson County Early Intervention (Part C)
Virginia's Part C early intervention program for Grayson County children birth to age 3. Free developmental evaluations and in-home therapy services. In-home delivery is essential for Grayson's rural mountain communities.
Free under IDEA Part C. Contact Mount Rogers Community Services Board to initiate a referral.
ABA therapy
Applied Behavior Analysis therapy — typically requires insurance authorization.
Independence · multi-county
New River Valley ABA Services
In-home ABA therapy is the most practical model for Grayson County families given the county's rural geography. Providers serving the New River Valley and Southwest Virginia can often deliver services in the home, reducing the burden of long drives for therapy.
Contact DBHDS or your local Community Services Board to identify in-home ABA providers who serve Grayson County.
Hillsville · multi-county
New River Valley ABA Services — Carroll County (In-Home/Telehealth)
In-home and telehealth ABA therapy for Carroll County. The rural SW Virginia geography makes in-home delivery and telehealth supervision the most practical model. Galax-area providers may also serve Carroll County families.
Contact Mount Rogers Community Services Board about current ABA providers serving Carroll County.
Mental health
Therapists and psychiatrists experienced with autistic children and adults.
Wytheville · multi-county
Blue Ridge Community Services (Galax City)
The regional CSB for Galax City and the Carroll/Grayson area provides DD waiver coordination, autism behavioral health, and crisis services for the Blue Ridge highlands region.
Parent & family support
Parent groups, sibling programs, and family peer support.
Wytheville · multi-county
Autism Society of Virginia — New River Valley (Wythe County)
The Autism Society of Virginia connects Wythe County families to New River Valley and Southwest Virginia support networks. Wytheville's I-81 access makes NRV area support groups reasonably accessible.
Independence · multi-county
Autism Society of Virginia — Southwest Network
The Autism Society of Virginia connects Grayson County families to the Southwest Virginia regional network and statewide autism programming. Virtual participation is available for families in this remote corner of the state.
Bland · multi-county
Autism Society of Virginia — Southwest Network (Bland)
The Autism Society of Virginia connects Bland County families to statewide peer support networks, online resources, and advocacy. Virtual participation is essential given the county's rural geography and limited local services.
Hillsville · multi-county
Autism Society of Virginia — Southwest Network (Carroll County)
The Autism Society of Virginia connects Carroll County families to SW Virginia regional peer support and statewide autism advocacy. Virtual connections are especially valuable for families in this remote corner of Virginia.
Marion · multi-county
Autism Society of Virginia — Southwest Network (Smyth County)
The Autism Society of Virginia connects Smyth County families to SW Virginia peer support and statewide autism advocacy. Virtual programming is essential for this remote Appalachian county. Bristol, TN-VA area autism groups may also be accessible.
Advocacy & legal
Legal advocates, special education advocates, and disability rights organizations.
Alexandria · multi-county
PEATC — Parent Educational Advocacy Training Center
Virginia's federally funded Parent Training and Information Center. PEATC provides free IEP advocacy and special education support to Grayson County families statewide by phone and video.
FREE. Particularly important for rural families who can't access in-person advocacy resources easily.
Alexandria · multi-county
PEATC — Parent Educational Advocacy Training Center
Virginia's federally funded PTI serves Carroll County families navigating Carroll County Public Schools. Free IEP advocacy, training, and direct support available statewide — critical for this rural SW Virginia county with limited local advocacy resources.
FREE. Remote phone and video consultations available.
Alexandria · multi-county
PEATC — Virginia Parent Training & Information Center (Galax City)
Virginia's federally funded PTI provides free IEP advocacy for Galax City families navigating Galax City Schools, by phone and virtually.
Wytheville · multi-county
PEATC — Virginia Parent Training & Information Center (Wythe County)
Virginia's federally funded PTI provides free IEP advocacy and special education rights support for Wythe County families navigating Wythe County Public Schools. PEATC's statewide network is especially valuable in Southwest Virginia's more rural counties.
FREE. Virginia's federally funded PTI.
Richmond · multi-county
The Arc of Virginia — Southwest Region (Galax City)
Statewide Arc affiliate supporting Galax City families with DD waiver navigation and disability advocacy in Virginia's Blue Ridge highland region.
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Helpful guides
Guides for Grayson 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 Virginia resources
Waivers, PTI centers, and state programs apply to all families in Virginia.
Virginia state guide →Nearby counties in Virginia
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