Autism Resources in Roanoke County, Virginia
15 providers in Roanoke and nearby, plus 12 national programs. Waitlists change often, so it’s worth calling a few.
0 providers in Roanoke County. Filter by your child’s age — including 18+, which is the hardest to find anywhere.
Based in Roanoke County
Diagnostic clinics
1 providerFormal autism evaluations by developmental pediatricians, psychologists, or neuropsychologists.
Carilion Clinic — Developmental Pediatrics
Roanoke, VA · serves several counties
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.
ABA therapy
1 providerApplied Behavior Analysis therapy — typically requires insurance authorization.
Star of Hope ABA Services — Roanoke
Roanoke, VA · serves several counties
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
1 providerOccupational therapy, sensory integration, and sensory diets.
Pediatric Therapy Network — Roanoke
Roanoke, VA
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.
Advocacy & legal
1 providerLegal advocates, special education advocates, and disability rights organizations.
PEATC — Southwest Virginia Outreach
Roanoke, VA
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.
Also serving Roanoke County
These 23 are based elsewhere, or operate nationally, and list Roanoke 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
2 providersFormal autism evaluations by developmental pediatricians, psychologists, or neuropsychologists.
Carilion Children's — Roanoke (Salem City)
Roanoke, VA · serves several counties
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.
Carilion Clinic — Developmental Pediatrics (Botetourt)
Fincastle, VA · serves several counties
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.
Mental health
4 providersTherapists and psychiatrists experienced with autistic children and adults.
Blue Ridge Behavioral Healthcare — Botetourt County
Roanoke, VA · serves several counties
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.
Blue Ridge Behavioral Healthcare — Franklin County
Roanoke, VA · serves several counties
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.
Blue Ridge Behavioral Healthcare (Salem City)
Roanoke, VA · serves several counties
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.
Valley Community Services Board (Craig County)
Roanoke, VA · serves several counties
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
3 providersRespite care providers giving families a break — in-home, center-based, and overnight.
Virginia respite — waiver services plus a separate voucher
Statewide, VA · serves several counties
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.
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.
Parent & family support
1 providerParent groups, sibling programs, and family peer support.
Autism Society of Virginia — Roanoke Valley Chapter (Salem City)
Roanoke, VA · serves several counties
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
3 providersLegal advocates, special education advocates, and disability rights organizations.
PEATC — Virginia Parent Training & Information Center (Botetourt)
Fincastle, VA · serves several counties
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.
PEATC — Virginia Parent Training & Information Center (Craig County)
Alexandria, VA · serves several counties
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.
PEATC — Virginia Parent Training & Information Center (Salem City)
Alexandria, VA · serves several counties
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
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.
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About autism services in Roanoke County
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.
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 15 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), 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 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.
Tell us about a provider →For providers
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