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Milestones

Our milestones are from Center for Disease Control (CDC) and American Academy of Pediatrics (AAP) materials.

Our resources are developed with and approved by expert pediatric physical and occupational therapists and speech-language pathologists.

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These materials are for informational purposes only: they are NOT a substitute for professional medical advice and do not constitute therapy, diagnosis or treatment. Using the materials or performing any activities is done at your own risk.

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Our milestones are from Center for Disease Control (CDC) and American Academy of Pediatrics (AAP) materials.

Our resources are developed with and approved by expert pediatric physical and occupational therapists and speech-language pathologists.

These materials are for informational purposes only: they are NOT a substitute for professional medical advice and do not constitute therapy, diagnosis or treatment. Using the materials or performing any activities is done at your own risk.

Copyright © 2026 Pathways

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motor

Able to bring hands to mouth

By 4 Months

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Able to move fists from closed to open

By 2 Months

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Able to string large beads onto a string

By 36 Months

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Able to turn pages in a book one at a time

By 30 Months

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Able to twist things with their hands like doorknobs

By 30 Months

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Catches large balls

By 36 Months

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Claps hands

By 15 Months

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Climbs on low furniture

By 18 Months

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Enjoys being active and playing games like tag, hide and seek, etc.

By 36 Months

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Goes up and down stairs with support

By 24 Months

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In simple play imitates others

By 9 Months

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Keeps head upright when in supported positions, e.g. sitting, standing, being held

By 6 Months

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Kicks large ball

By 24 Months

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Moves from tummy or back into sitting

By 9 Months

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Moves in and out of various positions to explore environment and get desired toys

By 12 Months

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Moves legs and arms off of surface when excited

By 2 Months

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Picks up small objects with thumbs and fingers

By 9 Months

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Pulls to stand and cruises along furniture

By 12 Months

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Reaches for toys while on tummy

By 6 Months

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Regularly moves with alternate leg and arm movement, e.g. creeping, crawling

By 12 Months

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Releases objects into a container with a large opening

By 12 Months

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Rolls from back to tummy and tummy to back

By 6 Months

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Runs

By 24 Months

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Sits and reaches for toys without falling

By 9 Months

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Sits without support

By 9 Months

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Squats to pick up a toy

By 18 Months

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Stands alone and takes several independent steps

By 15 Months

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Stands on tiptoes

By 24 Months

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Starts to jump with both feet leaving the ground

By 30 Months

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Starts to move with alternate leg and arm movement, e.g. creeping, crawling

By 9 Months

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Uses hands to support self while sitting

By 6 Months

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Uses thumb and pointer finger to pick up tiny objects

By 12 Months

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Walks independently and seldom falls

By 18 Months

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When walking, able to pull toys behind them

By 24 Months

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While lying on back, reaches both hands to play with feet

By 6 Months

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While lying on back, transfers toy from one hand to the other

By 9 Months

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While lying on tummy, lifts and holds head up

By 2 Months

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While lying on tummy, pushes up on straight arms

By 6 Months

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While lying on tummy, supports self on arms

By 4 Months

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While standing with support, accepts entire weight with legs

By 4 Months

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sensory

Able to calm with rocking, touching, and gentle sounds

By 2 Months

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Able to scribble and draw simple shapes

By 36 Months

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Able to take off articles of clothing

By 30 Months

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Brings hands and objects to mouth

By 6 Months

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Develops depth perception

By 12 Months

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Enjoys a variety of movements

By 2 Months

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Enjoys new toys or objects

By 4 Months

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Experiments with the amount of force needed to pick up different objects

By 9 Months

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Explores and examines an object using both hands and mouth

By 9 Months

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Explores toys with hands, fingers and mouth

By 12 Months

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Eyes track together by 3 months

By 4 Months

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Focuses on objects near and far

By 9 Months

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Helps wash hands

By 18 Months

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Helps with getting dressed/undressed

By 18 Months

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Investigates shapes, sizes, and textures of toys and surroundings

By 9 Months

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Knows at least one color

By 30 Months

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Looks at people and objects

By 6 Months

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Observes environment from a variety of positions – while lying on back or tummy, sitting, crawling, and standing with assistance

By 9 Months

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Pours liquid from large pitcher to cup

By 36 Months

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Sorts shapes and colors

By 24 Months

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Stacks 5 or more small blocks or toys on top of each other

By 24 Months

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Stacks two objects or blocks

By 15 Months

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Takes toys apart and puts them back together

By 24 Months

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Turns several pages of a chunky board book

By 9 Months

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Uses both hands to explore toys

By 6 Months

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Uses crayons, pens, or markers to make marks on paper

By 24 Months

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While lying on back, attempts to reach for a toy held above their chest

By 4 Months

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While lying on back, keeps head centered to watch faces or toys

By 4 Months

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While lying on back, visually tracks a moving toy from side to side

By 2 Months

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feeding

Able to eat soft finger/table foods, e.g. yogurt, bananas, ground beef

By 9 Months

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Begins to eat baby safe foods, other than milk - such as pureed or soft solid foods

By 6 Months

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Begins to use an open cup

By 12 Months

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Consistently gets a utensil to their mouth

By 15 Months

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Consumes about 1,000 calories a day

By 12 Months

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Drinks 2 oz. to 4 oz. of breast milk/formula per feeding

By 2 Months

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Drinks 4 oz. to 6 oz. of breast milk/formula per feeding

By 4 Months

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Drinks from a cup with one hand

By 24 Months

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Eating an increasing variety of food

By 12 Months

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Eats between 750-900 calories per day, including 24 oz. of breast milk/formula

By 9 Months

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Experiments with food using utensils and hands

By 6 Months

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Explores food and attempts to finger feed self

By 9 Months

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Finger feeds self

By 15 Months

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Holds and drinks from a cup

By 18 Months

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Latches on to nipple or bottle

By 2 Months

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Moves food from front of mouth to back

By 6 Months

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Moves tongue forward and back to suck

By 2 Months

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Stays full longer after eating

By 9 Months

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Sucks and swallows well during feeding

By 2 Months

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Uses a fork

By 36 Months

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Uses a spoon

By 24 Months

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When hungry will open mouth for breast or bottle

By 4 Months

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communication

Ask “what” and “where” questions

By 36 Months

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At least 50% of speech is understood by caregiver

By 36 Months

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Babbling has sounds and rhythms of speech

By 12 Months

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Begins to giggle or laugh

By 6 Months

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Begins to use 2 word phrases

By 24 Months

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Begins using hand movements to communicate wants and needs, e.g. reaches out hand to give/take objects

By 12 Months

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Can identify 1-2 body parts when named

By 24 Months

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Can say their own name

By 18 Months

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Combines consonants and vowels in different ways e.g. ahhh-b, mmm-uuuh, eee-p

By 9 Months

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Consistently imitates new words

By 24 Months

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Coos and smiles

By 2 Months

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Copies others

By 15 Months

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Cries differently for different needs, e.g. hungry vs. tired

By 2 Months

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Follows 2-step related directions, e.g. “Pick up your coat and bring it to me.”

By 30 Months

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Follows simple directions, e.g. "Come here"

By 18 Months

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Follows some directions when paired with a gesture

By 15 Months

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Imitates simple words and actions

By 18 Months

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Imitates speech sounds

By 12 Months

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Listens and responds when spoken to

By 6 Months

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Looks at familiar objects and people when named

By 9 Months

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Makes different kinds of sounds to express feelings

By 6 Months

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Makes different vowel sounds, e.g. eee, ooo, ahh, uh

By 4 Months

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Makes eye contact

By 2 Months

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Meaningfully uses “mama” or “dada”

By 12 Months

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Names objects and pictures

By 24 Months

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Notices toys that make sounds

By 4 Months

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Participates in two-way communication

By 9 Months

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Pays attention to where you are looking and pointing

By 12 Months

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Points at familiar objects and people in pictures when named

By 15 Months

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Points to objects they want

By 15 Months

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Quiets or smiles in response to sound or voice

By 2 Months

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Reacts to sudden noises or sounds

By 6 Months

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Recognizes sound of their name

By 9 Months

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Repeats words overheard in conversation

By 18 Months

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Responds to “no”

By 12 Months

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Says 3 or more words

By 18 Months

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Shows interest in faces

By 2 Months

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Shows interest in pictures

By 15 Months

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Shows recognition of commonly used words

By 9 Months

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Turns head towards sound or voice

By 4 Months

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Understands action words

By 30 Months

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Understands “in” and “out”

By 18 Months

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Understands most simple sentences

By 36 Months

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Understands new words quickly

By 24 Months

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Understands “why” questions

By 36 Months

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Uses 1 or 2 words other than "mama" or "dada"

By 15 Months

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Uses at least 50 words

By 30 Months

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Uses babbling to get attention

By 6 Months

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Uses gestures and words during pretend play

By 18 Months

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Uses simple gestures, e.g. raises hands to be picked up

By 9 Months

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Uses simple pronouns (me, you, my)

By 24 Months

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Uses smiles, sounds, or movement to get attention

By 4 Months

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Uses some plurals, e.g. “dogs”

By 36 Months

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