County resource guide
Autism Resources in Roanoke County, Virginia
Local providers, school contacts, and support services for autism families in Roanoke County. Virginia statewide resources also apply.
Roanoke County surrounds Roanoke city and is part of Virginia's western highlands metro. Carilion Children's, affiliated with Virginia Tech Carilion School of Medicine, provides developmental pediatric evaluation services. The Roanoke metro has a growing provider ecosystem for ABA and therapy. PEATC provides free statewide IEP advocacy, and Virginia's Infant and Toddler Connection provides EI for children under 3.
Provider directory
Local Providers30 providers in Roanoke County
About our listings
Provider listings on Autism Parent Club are submitted by practices or researched from public sources. All listings are reviewed by a person before publication, and no provider has paid to appear here. Read how we verify listings, or use the “Suggest a correction” link below to flag anything inaccurate.
0 providers in Roanoke County. Filter by your child’s age — including 18+, which is the hardest to find anywhere.
Diagnostic clinics
Formal autism evaluations by developmental pediatricians, psychologists, or neuropsychologists.
Roanoke · multi-county
Carilion Children's — Roanoke (Craig County Referral)
Carilion Children's in Roanoke is the primary autism diagnostic center for Craig County families. Offers comprehensive developmental evaluations and autism specialty care for Southwest Virginia.
Roanoke · multi-county
Carilion Children's — Roanoke (Salem City)
Carilion Children's Hospital in Roanoke is the primary autism diagnostic and developmental center for Salem City families, located just 5 miles from Salem via I-81.
Roanoke · multi-county
Carilion Clinic — Developmental Pediatrics
Carilion Roanoke Memorial's developmental pediatrics team provides autism evaluations and follow-up care for children across Southwest Virginia. The primary academic medical system serving Roanoke and the surrounding region.
Regional hub for Southwest VA. Expect waitlists — ask about Carilion's community partners for shorter waits.
Fincastle · multi-county
Carilion Clinic — Developmental Pediatrics (Botetourt)
Carilion Clinic's developmental pediatrics program in Roanoke serves Botetourt County families with comprehensive autism evaluations. As Roanoke is the regional medical hub immediately adjacent to Botetourt, families have strong academic medical access without long travel.
Carilion Roanoke is minutes from most of Botetourt County.
ABA therapy
Applied Behavior Analysis therapy — typically requires insurance authorization.
Roanoke · multi-county
Star of Hope ABA Services — Roanoke
Home- and center-based ABA therapy in the Roanoke Valley. BCBA-supervised programs covering skill acquisition, communication, and daily independence. Accepts Virginia Medicaid and most commercial insurance.
Virginia requires commercial insurance to cover ABA. Medicaid accepted.
Occupational therapy & sensory
Occupational therapy, sensory integration, and sensory diets.
Roanoke
Pediatric Therapy Network — Roanoke
Occupational therapy and sensory integration services for children in the Roanoke area. Sensory processing evaluations, sensory diets, and school-readiness OT. Works closely with Carilion's developmental pediatrics team.
Accepts most commercial insurance. Ask about school-based OT coordination.
Mental health
Therapists and psychiatrists experienced with autistic children and adults.
Roanoke · multi-county
Blue Ridge Behavioral Healthcare — Botetourt County
Blue Ridge Behavioral Healthcare serves Botetourt County as the regional Community Services Board. Provides mental health services, developmental disability supports, DD waiver coordination, and crisis intervention for autism-related behavioral needs.
Virginia's CSBs are the primary gateway to DD waivers and state-funded services.
Roanoke · multi-county
Blue Ridge Behavioral Healthcare — Franklin County
Blue Ridge Behavioral Healthcare serves Franklin County with mental health, DD, and autism-related behavioral health services. DD waiver coordination and crisis services are accessible through this regional CSB.
Roanoke · multi-county
Blue Ridge Behavioral Healthcare (Salem City)
The regional CSB serving Salem City, Roanoke City, and Roanoke County provides DD waiver coordination, autism behavioral health, and crisis services for the Roanoke Valley.
Roanoke · multi-county
Valley Community Services Board (Craig County)
The regional CSB for Craig County, providing DD waiver coordination and autism behavioral health services. Craig is one of Virginia's smallest counties; Roanoke is the nearest major referral center.
Respite care
Respite care providers giving families a break — in-home, center-based, and overnight.
Statewide · multi-county
Virginia respite — waiver services plus a separate voucher
Two routes, and the second is the one families miss. Respite is a covered service under the Community Living, Family and Individual Supports and CCC Plus waivers, coordinated through your Community Services Board or managed care organization. Separately, the Lifespan Respite Voucher Program run by the Department for Aging and Rehabilitative Services reimburses eligible caregivers for respite — and does not require you to hold a waiver at all.
If you are on a waiver waiting list, the DARS Lifespan Respite Voucher is the thing to ask about — it exists precisely for families who are waiting.
~3,000 providers nationwide
ARCH National Respite Locator
A free national database of respite providers searchable by state and locality — home care agencies, community-based organizations and state programs. The single best starting point for finding respite anywhere in the country, and it is the tool state agencies themselves point families toward.
A national programme with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Before you pay out of pocket, check what your state's Medicaid waiver funds — respite is covered by nearly every state waiver, and many families never think to ask.
Most states run one
Your state's Lifespan Respite Care Program
Lifespan Respite Care Programs are federally seeded, state-run programs that help families of any age and any disability find and pay for respite — often including vouchers or subsidies that do not depend on having a Medicaid waiver. Most states have one, they are chronically under-used, and they are rarely mentioned by anyone else in the system.
A national programme with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Search for "[your state] Lifespan Respite" or use the ARCH directory. Ask specifically about voucher or subsidy programs — that is the part families most often miss.
Parent & family support
Parent groups, sibling programs, and family peer support.
Roanoke
Autism Society of Virginia — Roanoke Chapter
Local chapter hosting support groups, family events, and resource connections in the Roanoke Valley. A critical community anchor given the more limited provider landscape in Southwest Virginia compared to Northern Virginia and Hampton Roads.
Fincastle · multi-county
Autism Society of Virginia — Roanoke Valley (Botetourt)
The Autism Society of Virginia connects Botetourt County families to Roanoke Valley support networks, parent meetups, and statewide resources. The Roanoke chapter provides the most accessible local programming for Botetourt residents.
Roanoke · multi-county
Autism Society of Virginia — Roanoke Valley Chapter (Salem City)
The Autism Society of Virginia's Roanoke chapter serves Salem City families with support groups, resource events, and family programming in the Roanoke Valley.
Advocacy & legal
Legal advocates, special education advocates, and disability rights organizations.
Roanoke
PEATC — Southwest Virginia Outreach
PEATC's statewide coverage extends to Roanoke and Southwest Virginia families. Free IEP advocacy, parent trainings on IDEA rights, and telephone consultations. Helps rural families navigate services when local resources are limited.
FREE. Phone and virtual consultations available — no travel required.
Fincastle · multi-county
PEATC — Virginia Parent Training & Information Center (Botetourt)
PTI Virginia (formerly PEATC) provides free IEP advocacy, training, and special education rights support to Botetourt County families. Staff understand the Roanoke Valley school systems and Virginia's special education regulations.
FREE. Call before any IEP meeting or dispute.
Alexandria · multi-county
PEATC — Virginia Parent Training & Information Center (Craig County)
Virginia's federally funded PTI provides free IEP advocacy support for Craig County families through phone and virtual consultations statewide.
PEATC — Virginia Parent Training & Information Center. Statewide contact verified August 2026.
Alexandria · multi-county
PEATC — Virginia Parent Training & Information Center (Salem City)
Virginia's federally funded PTI provides free IEP advocacy for Salem City families navigating Salem City Schools.
PEATC — Virginia Parent Training & Information Center. Statewide contact verified August 2026.
Activities, clubs & recreation
Clubs, sports, camps, and social programs that welcome autistic children and teens — inclusive, adaptive, and special-needs specific.
200+ locations nationwide
ACEing Autism
Weekly Saturday tennis clinics built specifically for autistic children aged 5 to 18, run by volunteers at more than 200 locations across the country, serving over 7,000 players. Sessions run in six-week blocks of an hour. This is the clearest example of the interest-based model working: the sport supplies the structure, the turn-taking and the reason to be there, so the social side happens sideways rather than being the task.
A national programme with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Cost varies by location — around $120 for a six-week session at some sites, with scholarships available. Use the map on their site to find your nearest program, schedule and local contact.
~4,000 camps nationwide
American Camp Association — camp finder
A free searchable directory of close to 4,000 summer camps that can be filtered for camps serving autistic campers, by distance, session length, activities and cost. The best single starting point for finding a day or overnight camp anywhere in the country.
A national programme with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Registration for specialized camps typically opens December–February and popular overnight camps fill within days. Start the funding conversation in autumn.
Nationwide — find your local chapter
Best Buddies
One-to-one friendship matching between people with and without intellectual and developmental disabilities, plus employment, leadership and inclusive living programs. Over 4,000 chapters across all 50 states, serving school-age through adult. If what your family wants is a friend rather than an activity, this is the most direct answer in the country.
A national programme 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 1-800-89BUDDY, to locate your nearest chapter.
Local affiliates across most of the country
Easterseals — camps and recreation
Day and overnight camps run through local Easterseals affiliates, several of them autism-specific, with weekend respite and family camp sessions as well. Many affiliates operate sliding-scale fees, and several camps serve adults alongside children.
A national programme 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 affiliates — check what your nearest one actually runs rather than assuming the national description applies.
Week-long camps hosted nationwide
iCan Shine (iCan Bike)
Teaches people with disabilities to ride a conventional two-wheeled bicycle, using adapted roller bikes over a week-long camp that gradually transfers balance to the rider. Learning to ride a bike is a milestone a lot of autistic children are quietly written off for, and this is the program that most reliably delivers it. Camps are hosted by local organizations across the country, so availability is by host town rather than by chapter.
A national programme with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Check their site for host locations and dates — camps run in different towns each year, so somewhere near you may host this year and not next.
Local chapters in a number of US cities
KEEN (Kids Enjoy Exercise Now)
Volunteer-led one-to-one recreation for children and young adults with developmental and physical disabilities, at no cost to families or carers. The one-to-one model is the point: a volunteer is paired with your child for the session, which makes it workable for people who cannot manage a group setting unsupported.
A national programme with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Free to families. Runs through local chapters in a number of US cities rather than everywhere — check whether yours has one.
900+ divisions nationwide
Little League Challenger Division
Baseball for children and adults with a physical or intellectual disability, across more than 900 divisions. The main division serves ages 4–18, or up to 22 if still enrolled in school; the Senior League Challenger Division serves 15 and above with no upper age limit.
A national programme 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.
200+ communities
Miracle League
Baseball on purpose-built accessible fields in more than 200 communities. Every player bats and every player scores, so ability differences do not decide the game.
A national programme with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Check their location list for the nearest field — coverage is good but not universal.
Every state — county-level programs
Special Olympics
Year-round sports training and competition at no cost to the athlete or their family, for children and adults alike. Programs run at county level in every state.
A national programme with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Eligibility centers on intellectual disability or a closely related developmental disability. If your child is autistic without an intellectual disability, have a direct conversation about fit before signing up rather than after.
Through local clubs and state associations
TOPSoccer (US Youth Soccer)
The Outreach Program for Soccer — recreational soccer for children and adults with intellectual, emotional or physical disabilities, usually with buddy support on the pitch. Run through ordinary local soccer clubs rather than as a separate organization.
A national programme with local chapters — we have not verified a chapter in this county. Use their finder to locate the nearest one.
Ask your state youth soccer association which local clubs run TOPSoccer — it is often not advertised on the club's own website.
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Helpful guides
Guides for Roanoke 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.
Communities served
Cities in Roanoke County
Serving families across Roanoke County including Roanoke City, Salem, Vinton, Hollins, Cave Spring, Back Creek, Catawba, Windsor Hills, Mount Pleasant and Bent Mountain and more.
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 Roanoke County, Virginia?
We list 18 providers serving Roanoke County, covering parent & family support, mental health, diagnostic clinics, advocacy & legal and occupational therapy & sensory, plus 2 more. Some are based in the county and others serve it from nearby areas. Every listing is reviewed by a person before it is published.
Which autism providers in Roanoke County accept Medicaid?
1 of the providers we list for Roanoke County state that they accept Medicaid, including Star of Hope ABA Services — Roanoke. Coverage and plan participation change often, so confirm directly with the provider before your first appointment.
Where can I find ABA therapy in Roanoke County?
ABA providers serving Roanoke 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 Roanoke County families?
Yes — 2 providers serving Roanoke County offer telehealth or virtual sessions. This is often the fastest route to support for families in rural areas or on long local waitlists.
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 Roanoke County?
If none of the Roanoke County providers is the right fit, these Virginia counties currently have the most listed providers: Fairfax County (35), Prince William County (27), York County (27), Arlington County (26). 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 Roanoke County
These are the things no database has and every parent knows. If you can answer one of them, another family in Roanoke 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?
- Is there a group here where your child has made a friend?
- Which pediatrician here actually listens, and doesn't rush the appointment?
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 Roanoke County? We'll email you.
One email when we verify a new provider in Roanoke 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 Roanoke 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.
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