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 Providers17 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 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.
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.
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.
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.
For providers
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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 →Nearby counties in Virginia
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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