Previous research shows that children's ability to estimate numbers of items using their Approximate Number System (ANS) predicts later math ability. To more closely examine the predictive role of early ANS acuity on later abilities, we assessed the ANS acuity, math ability, and expressive vocabulary of preschoolers twice, six months apart. We also administered attention and memory span tasks to ask whether the previously reported association between ANS acuity and math ability is ANS-specific or attributable to domain-general cognitive skills. We found that early ANS acuity predicted math ability six months later, even when controlling for individual differences in age, expressive vocabulary, and math ability at the initial testing. In addition, ANS acuity was a unique concurrent predictor of math ability above and beyond expressive vocabulary, attention, and memory span. These findings of a predictive relationship between early ANS acuity and later math ability add to the growing evidence for the importance of early numerical estimation skills. (Contains 5 tables and 2 figures.)