We have been operating in Puyallup as a nonprofit for 17 years and serve children birth to three with special needs. Just as no two children are the same, developmental delays often manifest in various ways; a delay may be identified at birth by a genetic or chromosomal disability (such as Down Syndrome); an unexpected delay may appear as the child grows and milestones fall short; or an unfortunate traumatic event, such as an accident or prenatal drug exposure, may result in a temporary or permanent delay. 

More often than ever, with the opioid crisis we are serving babies that have been drug impacted at birth and children who have been subjected to horrible traumatic abuse and removed from their home. Our team of specialists customize a plan, as each child is unique and faces their own set of challenges. 

A Step Ahead in Pierce County is one of the region’s most progressive organizations for children ages birth to three who have one or more developmental delays. We provide convenient, home-based therapy and educational services, including speech, physical and occupational therapies and special education. Our team of talented and tenacious professionals work with families as partners, advocates and a support system of care. Our pledge is to unlock the full potential in every child we see.