Is Your Child Not Hitting Developmental Milestones? We Can Help.

Every child develops at their own pace — but developmental milestones exist because most children reach certain skills within predictable windows. When a child isn’t hitting those milestones on time, early evaluation and early intervention make a significant difference in outcomes.
What Are Developmental Milestones?
Developmental milestones are skills that most children achieve by a certain age across four domains: gross motor (physical movement), fine motor (hand and finger skills), language/communication, and social/emotional development. Standardized developmental screening at well-child visits is designed to catch delays before they become problems.
Signs Worth Discussing With Your Provider
By 6 months:
- Not babbling or making vowel sounds
- Not responding to sounds or voices
- Not reaching for objects
By 12 months:
- No gesturing (pointing, waving)
- No single words
- Not pulling to stand or cruising along furniture
By 24 months:
- Fewer than 50 words or not combining two words
- No pretend play
- Losing previously acquired skills (regression is always worth reporting)
What Evaluation Looks Like
If a milestone concern is identified at a well-child visit, your provider may refer for developmental evaluation — which can include speech-language assessment, occupational therapy evaluation, or a developmental pediatrics consultation. Services provided through Nevada’s early intervention programs (for children under 3) are free.
The most important message: don’t wait and see if you’re worried. Early intervention has the strongest evidence base — the sooner concerns are addressed, the better outcomes are for children with developmental differences.
If you have concerns, call (702) 457-5437 or schedule a well-child visit to discuss them with our team.
