Autism Resources in Grayson County, Virginia
15 providers in Independence, Alexandria, Roanoke and nearby, plus 12 national programs. Waitlists change often, so it’s worth calling a few.
0 providers in Grayson County. Filter by your child’s age — including 18+, which is the hardest to find anywhere.
Based in Grayson County
Diagnostic clinics
1 providerFormal autism evaluations by developmental pediatricians, psychologists, or neuropsychologists.
Carilion Children's — Developmental & Behavioral Pediatrics
Roanoke, VA · serves several counties
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.
Early Intervention (0–3)
1 providerFree services for children under 3 under IDEA Part C.
Grayson County Early Intervention (Part C)
Independence, VA
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
1 providerApplied Behavior Analysis therapy — typically requires insurance authorization.
New River Valley ABA Services
Independence, VA · serves several counties
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.
Advocacy & legal
1 providerLegal advocates, special education advocates, and disability rights organizations.
PEATC — Parent Educational Advocacy Training Center
Alexandria, VA · serves several counties
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.
Also serving Grayson County
These 23 are based elsewhere, or operate nationally, and list Grayson County in the area they cover. Worth calling to confirm how far they actually travel, and whether telehealth or in-home visits are an option.
Diagnostic clinics
5 providersFormal autism evaluations by developmental pediatricians, psychologists, or neuropsychologists.
Carilion Children's — Carroll County Referral Pathway
Hillsville, VA · serves several counties
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.
Carilion Children's — Developmental & Behavioral Pediatrics
Roanoke, VA · serves several counties
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.
Carilion Children's — Smyth County Developmental Referral
Marion, VA · serves several counties
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.
Carilion Clinic — Telehealth Developmental Pediatrics (Bland)
Bland, VA · serves several counties
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.
Carilion New River Valley Medical Center — Developmental Pediatrics (Wythe County)
Wytheville, VA · serves several counties
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.
ABA therapy
1 providerApplied Behavior Analysis therapy — typically requires insurance authorization.
New River Valley ABA Services — Carroll County (In-Home/Telehealth)
Hillsville, VA · serves several counties
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
1 providerTherapists and psychiatrists experienced with autistic children and adults.
Blue Ridge Community Services (Galax City)
Wytheville, VA · serves several counties
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.
Respite care
2 providersRespite care providers giving families a break — in-home, center-based, and overnight.
ARCH National Respite Locator
Searchable by state, VA
A free national directory of respite providers and programs, run by ARCH, the National Respite Network and Resource Center. ARCH says it is not a complete list, so it works best alongside…
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
ARCH's advice is to contact your State Respite Coalition or Lifespan Respite program first. Before you pay out of pocket, also check what your state's Medicaid waiver funds.
Your state's Lifespan Respite program
39 states and DC have been funded, VA
Lifespan Respite programs are federally funded, state-run programs that help family caregivers of children or adults, regardless of special need, find and pay for respite.
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
ARCH lists every state's Lifespan Respite contact and respite coalition on this page. Ask specifically about voucher or stipend programs — that is the part families most often miss.
Advocacy & legal
4 providersLegal advocates, special education advocates, and disability rights organizations.
PEATC — Parent Educational Advocacy Training Center
Alexandria, VA · serves several counties
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.
PEATC — Virginia Parent Training & Information Center (Galax City)
Alexandria, VA · serves several counties
Virginia's federally funded PTI provides free IEP advocacy for Galax City families navigating Galax City Schools, by phone and virtually.
PEATC — Virginia Parent Training & Information Center. Statewide contact verified August 2026.
PEATC — Virginia Parent Training & Information Center (Wythe County)
Wytheville, VA · serves several counties
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.
The Arc of Virginia — Southwest Region (Galax City)
Richmond, VA · serves several counties
Statewide Arc affiliate supporting Galax City families with DD waiver navigation and disability advocacy in Virginia's Blue Ridge highland region.
Activities, clubs & recreation
10 providersClubs, sports, camps, and social programs that welcome autistic children and teens — inclusive, adaptive, and special-needs specific.
ACEing Autism
227 programs in 32 states, VA
Tennis clinics for kids, teens and, in some locations, adults on the autism spectrum.
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Cost varies by location and scholarships are available. Use the Find a Program search on their site with your zip code.
American Camp Association — camp finder
About 3,900 camps, VA
A free searchable directory of about 3,900 camps, with a filter for disabilities and other special needs alongside distance, activities, session length and cost. A good single starting…
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Choose day or overnight, then use the "Disabilities and Other Special Needs" filter. Specialized camps can fill early, so start looking in the winter before.
Best Buddies
All 50 states — find your local program, VA
One-to-one friendship matching between people with and without intellectual and developmental disabilities, with programs from elementary school through college and adulthood, plus…
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
A national organization, not a local listing — use the finder on their site, or call 1-800-89-BUDDY, to locate your nearest program.
Easterseals — camps and recreation
Local Easterseals across the country, VA
Day and residential camps for children and adults with disabilities, plus sports, social activities and community outings run by local Easterseals.
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Programs vary a great deal between locations — use the Find your Easterseals search on the page and check what yours actually runs.
iCan Shine (iCan Bike)
Camps hosted in different towns each year, VA
Teaches people with disabilities to ride a conventional two-wheeled bicycle over a five-day camp, 75 minutes a day. iCan Shine says about 80% of participants ride independently by the end…
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Check their Camp Locations page for dates — camps run in different towns each year, so somewhere near you may host this year and not next.
KEEN (Kids Enjoy Exercise Now)
Six cities only: Chicago, DC–Baltimore, Los Angeles, New York, San Francisco, St. Louis, VA
Free, non-competitive, one-to-one recreation for youth ages 5 to 21 with physical or developmental disabilities, led by trained volunteer coaches.
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Free to families. KEEN runs in six cities plus two university campus chapters (Vanderbilt and the University of Virginia) — outside those, it is not available yet.
See all 10 activities, clubs & recreation providersShow fewer
Little League Challenger Division
Through local Little Leagues — use the League Finder, VA
Little League's adaptive baseball program for anyone with a physical or intellectual challenge.
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Use the League Finder on their site to locate the nearest Challenger division, or ask about starting one. Little League's rule is that a player who can take part in regular Little League with reasonable accommodations should do so.
Miracle League
300 leagues — check for one near you, VA
Baseball for children and adults with physical or mental disabilities, played on custom-designed rubberized turf fields that accommodate wheelchairs and other assistive devices.
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Use the Find a Miracle League page on their site — there are 300 leagues, so coverage is good but not universal.
Special Olympics
Nationwide — find your local program, VA
Year-round sports training and competition for children and adults.
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Eligibility requires an intellectual disability, a cognitive delay measured by formal assessment, or significant learning or vocational problems due to cognitive delay, identified by an agency or professional. If your child is autistic without a cognitive delay, have a direct conversation about fit before signing up rather than after. Ask your local program about any costs.
TOPSoccer (US Youth Soccer)
Through local soccer clubs, VA
The Outreach Program for Soccer — recreational soccer for children and adults with intellectual, emotional or physical disabilities, offered through local US Youth Soccer clubs.
A national program with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Find your state association's TOPSoccer clubs through the link on their page, or ask your state association office directly — it is often not advertised on the club's own website.
Not sure which kind of therapy you need?
Start with our plain-language guide to ABA, speech and OT — what each one is, and questions to ask on the first call.
Read the guideFor providers
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About autism services in Grayson County
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.
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 →Common questions
Answered from the providers currently listed for this county — these update as the directory does.
How many autism providers serve Grayson County, Virginia?
We list 15 providers serving Grayson County, covering mental health, diagnostic clinics, early intervention (0–3), ABA therapy and advocacy & legal. Some are based in the county and others serve it from nearby areas. Every listing is reviewed by a person before it is published.
Where can I find ABA therapy in Grayson County?
ABA providers serving Grayson County are listed in the ABA therapy section of this page, with phone numbers and websites. Many deliver services in the family's home or at school as well as in a clinic. Ask about waitlists when you call — they vary widely and change month to month.
Are there telehealth autism services for Grayson County families?
Yes — 4 providers serving Grayson County offer telehealth or virtual sessions. This is often the fastest route to support for families in rural areas or on long local waitlists.
Can autism therapy happen at home in Grayson County?
3 providers serving Grayson County deliver services in the family's home. Many children do better in a familiar setting than in an unfamiliar clinic room, and in-home visits remove the travel burden.
Does Medicaid pay for autism services in Virginia?
Virginia families can apply to the DD Waivers — Community Living, Family & Individual Supports, Building Independence, a Medicaid waiver that can fund respite, therapies and in-home support. The typical wait is By urgency, not by date — Priority 1 is served within about a year, and your place is usually set by the date you apply — so applying early matters even if you are unsure what services you need. Many waivers also disregard parental income, so families who don't qualify for regular Medicaid often still qualify here.
What if I can't find an autism provider in Grayson County?
If none of the Grayson County providers is the right fit, these Virginia counties currently have the most listed providers: Fairfax County (35), Prince William County (27), Arlington County (26), York County (23). Many providers travel or offer telehealth, so it is worth calling even if they are not based nearby. You can also tell us about a provider we are missing.
Nearby counties in Virginia
You know things we don’t
Still missing from Grayson County
These are the things no database has and every parent knows. If you can answer one of them, another family in Grayson Countygets an afternoon back. It takes about a minute and you don’t need to know the business details — a name and a rough location is enough for us to check.
- Which dentist here has managed a cleaning without it becoming a fight?
- Who cuts your child's hair without a meltdown?
- Where do parents here actually talk to each other?
- Is there a group here where your child has made a friend?
We check everything before it goes up, and nobody pays to be listed. How we verify.
Get told when this page changes
New provider in Grayson County? We'll email you.
One email when we verify a new provider in Grayson County — no newsletter, no digest, nothing else. Some counties hear from us a few times a year and some stay quiet for months; we would rather send you nothing than send you filler.
We store your address and county, and nothing else. How we handle it.
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.
Report a correction →Help the community
Know a great provider in Grayson County?
If a therapist, clinic, or specialist helped your family, tell us about them and we’ll add them to the directory so other families can find them too.
Tell us about a provider →For providers
Are you a provider serving Grayson County?
Add your practice so families searching for help can find you. Listings are free.
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