Practitioners living in rural areas have typically faced many challenges accessing high-quality ABA training. Online training and telehealth procedures can overcome these challenges, ensuring that high-quality training is accessible for everyone. During the Covid-19 pandemic, online training platforms and Telehealth have risen in popularity as a training method for those working in remote areas. Given the importance of the VB approach in teaching communication skills to individuals with autism, the current research was designed to compare the efficacy of traditional online training versus telehealth in VB training for practitioners. An alternating treatments design (ATD) was utilised to compare the effectiveness of two methods with n=5 participants from globally diverse locations. The delivery of VB modules was alternated between traditional, pre-recorded videos on a learning platform and live telehealth sessions delivered in vivo. After completing each module, participants had to meet predefined mastery criteria in order to progress to the next learning module. Follow-up data and a social validity questionnaire were also collected after 4 weeks. The results showed that while both technologies successfully increased VB understanding, traditional online training produced slightly higher results than telehealth.