In-Home ABA Therapy in Roanoke, VA
Roanoke is the largest Virginia city west of Richmond, about 100,000 people under the Mill Mountain Star, and the medical hub for the western half of the state: Carilion Children's draws families from Salem, Vinton, Botetourt, Franklin County, and the New River Valley for evaluations. Most of the region's autism services are center- and school-based, though. Our clinicians come to your home, in the city and across the valley. We verify your insurance before therapy starts. In-network with Aetna and Anthem, including HealthKeepers Plus (Virginia Medicaid).
In-Home Care
A diagnosis is a lot. The next step doesn't have to be.
Most families find us right after a diagnosis, staring down a pile of acronyms: IEP, BCBA, RBT, prior authorization. Our team explains every piece in plain language, and through our interpreter service we can talk with parents in 334 languages, so whatever language your family speaks at home, we speak it with you. We verify your insurance benefits as soon as you reach out, so you know what is covered before you commit to anything, and we handle the back-and-forth with insurance to advocate for the services your child qualifies for. You focus on your kid. If you are still waiting on a diagnosis, start with our diagnosis page; our telehealth partner As You Are evaluates children across Virginia.
Neighborhoods We Serve in Roanoke
About 100,000 people live in Roanoke, the hub of the Roanoke Valley and the largest Virginia city west of Richmond. Our clinicians work in homes across all of it.
Why in-home
Why we come to you
Skills stick where they're learned Your therapist works in the rooms where your child actually lives: the kitchen, the playroom, the backyard. A skill practiced at your own dinner table transfers to real life far better than one practiced in a clinic across town.
Your BCBA sees real life The morning rush before school drop-off, the meltdown when a sibling gets home, how your child handles the dog or the doorbell. Seeing the real routine is what makes a treatment plan work outside the session.
Western Virginia's hub, served at home Families across western and southwest Virginia already drive to Roanoke for pediatric specialists, and the region's autism services skew center- and school-based. In-home ABA is the thinner slice here: our clinicians come to Grandin Village, Williamson Road, and the valley towns beyond, so therapy doesn't mean another trip.
Day to day
What a session looks like
One on one, built around your child A typical session runs a few hours of structured, play-based teaching using what your child already loves: blocks, books, snacks, the family dog. The goals are practical. Asking for what they want, riding out a transition, getting through a meal at the table.
A BCBA writes the plan, an RBT runs the sessions A Board Certified Behavior Analyst designs your child's program, watches the data, and adjusts goals. A Registered Behavior Technician runs the day-to-day sessions and is the person your child sees most. Both will know your kid's name, favorite toy, and the thing that always sets them off.
Parents stay in the loop You see the data, you hear what worked, and through parent and caregiver training you learn the same strategies, so progress doesn't stop when the session ends.
Our Services in Roanoke
Every program is designed and supervised by a BCBA and built around your child.
In-Home ABA Therapy
One-on-one, play-based sessions in your own home, where skills are learned in the place they will actually be used. Learn more.
ABA Therapy for Kids
Early support for toddlers and elementary-age children. The earlier therapy starts, the more ground it can cover. Learn more.
ABA Therapy for Teens
Independence, social navigation, and executive skills for older kids, including the transitions middle school and high school bring. Learn more.
In-School ABA Support
Coordination with your child's school team, including school IEP and behavior plan meetings, so home and classroom pull in the same direction. Learn more.
Parent & Caregiver Training
We teach you the same strategies your child's therapist uses, so progress continues between sessions and after therapy ends. Learn more.
Free BCBA Consultation
Not sure where to start? Talk through your situation with a Board Certified Behavior Analyst at no cost and no obligation. Book a time.
Roanoke Resources We Know Well
The people and programs Roanoke families rely on most, in one place.
Roanoke City Public Schools
RCPS serves eligible students ages 2 through 21 through its Department of Special Education & Exceptional Learners on Campbell Avenue ((540) 853-2468). Preschoolers ages 2 to 4 go through the REACH preschool special education program; the Child Find coordinator is at (540) 853-1900. Your BCBA can attend IEP meetings with you through our in-school ABA support.
Getting a diagnosis
Carilion Children's Pediatric Child Development clinic at the Tanglewood Center on Electric Road (540-769-0976) is the pediatric specialty hub families across western and southwest Virginia are referred to for developmental and autism evaluations. Our telehealth partner As You Are also evaluates children statewide; start on our diagnosis page.
Therapeutic recreation, valley-wide
Roanoke County Parks, Recreation & Tourism runs Therapeutic Recreation Services ((540) 772-7529, ext. 2) in partnership with the City of Roanoke and the City of Salem: cultural arts, life skills, wellness and fitness, and outdoors programs for people with disabilities of all ages, with an intake assessment before registering.
An established autism education community
The Blue Ridge Autism and Achievement Center ((540) 366-7399), a state-licensed private day school based in the Roanoke Valley, has served the region's autism community for years and is one of its most respected institutions. In-home ABA adds a different piece: the teaching and support that happen in your own living room, alongside whatever school setting fits your child.
Most Roanoke Families Pay Little or Nothing Out of Pocket
We are in-network with Aetna and Anthem, including Anthem HealthKeepers Plus, the Virginia Medicaid managed care plan. We are TRICARE-certified for military families, and we work with almost every other plan out of network. We verify your benefits before therapy starts and handle the paperwork, so you know exactly what to expect. See our insurance page for details, or call (571) 250-9442 and we will check your coverage for you.
1. Reach out
Call, text, or send the form. A real person answers, and a BCBA talks with you about your child, usually the same day.
2. We verify your benefits
We run a verification of benefits right away and tell you exactly what your plan covers before you commit to anything.
3. Assessment at home
Your BCBA meets your child where they are comfortable, builds the treatment plan, and walks you through every goal in plain language.
4. Therapy starts
Sessions begin on a schedule that fits your family: mornings, after school, or weekends. No long waitlist, no mountain of paperwork.
Places Worth Knowing About for Your Kid
A neon star on a mountain, 100 miles of greenways, and two children's museums in one square: Roanoke is built for family weekends.
Mill Mountain and the Star
The 568-acre Mill Mountain Park rises right above downtown, topped by the Roanoke Star: 88.5 feet tall, lit since 1949, the world's largest free-standing illuminated star. The park also holds Mill Mountain Zoo, the Discovery Center, a playground, a wildflower garden, and more than 15 miles of natural-surface trails.
Greenways in every direction
The Roanoke River Greenway is the spine of seven city greenways and a trail network of more than 100 paved and natural-surface miles; the river sections through Wasena and the downtown riverfront are flat, paved, and stroller-friendly.
Center in the Square, floor by floor
The Science Museum of Western Virginia (540-342-5710) on the 4th and 5th floors has The Bubble, a multi-sensory room designed for Pre-K children and kids who benefit from sensory stimulation, plus a planetarium and hands-on labs. Kids Square children's museum on the 3rd floor (540-342-5777) is low-pressure, hands-on STEAM play: climbing walls, play diggers, big Lego blocks.
Carvins Cove
Just northwest of town, Carvins Cove Natural Reserve spreads more than 12,000 acres, the second-largest municipally owned park in the United States, around a 630-acre reservoir with 60 miles of trails for hiking, biking, and paddling.
Roanoke FAQs
Most families get moving fast. We verify your insurance benefits right after you reach out, so you know what is covered before you commit to anything. If your child already has a diagnosis, we can usually begin without a long waitlist. If you are still waiting on one, Carilion Children's child development clinic at the Tanglewood Center and our telehealth partner As You Are are both good routes, and we can point you either way.
Yes. Your BCBA can attend IEP and behavior plan meetings with you, share session data with the school team, and keep home and classroom goals pulling in the same direction. That goes for Roanoke City Public Schools and, depending on your address, neighboring divisions too.
Yes. We are in-network with Anthem HealthKeepers Plus, a Virginia Medicaid managed care plan, along with Aetna and commercial Anthem plans. We are also TRICARE-certified and work with almost every other plan out of network. For many Roanoke families, covered ABA therapy comes at no out-of-pocket cost, and we check your exact benefits before therapy starts.
All of them. Our clinicians work in homes across Grandin Village, Raleigh Court, South Roanoke, Old Southwest, Wasena, Downtown, Williamson Road, and Gainsboro, plus Salem, Vinton, and the county around them. Roanoke is the largest metro west of Richmond and our base for reaching southwest Virginia; the region's autism services skew center- and school-based, so in-home coverage is the gap we fill. We serve families across the Roanoke Valley and statewide.
Yes. A parent or caregiver needs to be home during in-home sessions. Many parents use the time to catch up on their own things in another room. When a specific goal calls for it, a session can also practice skills out in the community, always with you in the loop.
Then we'll use yours. Through our interpreter service we can communicate with parents in 334 languages. Every conversation about your child, from the first call to progress updates and insurance questions, can happen in the language you're most comfortable in.
Serving Families Across Roanoke, VA
In-home ABA therapy throughout Roanoke, plus Salem, Vinton, and communities across the Roanoke Valley.
Nearby Service Areas
Somewhere else in Virginia? See everywhere we go. We reach parts of the state most providers don't.