Comprehensive Behavioral Intervention for Tics (CBIT) has been shown to be effective for reducing tics in children with chronic tic disorder. Unfortunately, there remain significant barriers to dissemination. The aim of the current study was to examine the effectiveness of CBIT delivered over videoconference. Twenty children were randomly assigned to receive CBIT over videoconference or via traditional face-to-face delivery. Results show that both treatment delivery modalities resulted in significant tic reduction with no between group differences. Furthermore, acceptability and therapist-client alliance ratings were strong for both groups. Together, these results suggest that videoconference is a viable option for disseminating CBIT. ► Both telehealth and face-to-face CBIT delivery were effective for reducing tics. ► Treatment acceptability ratings for both delivery modalities were high. ► There were no differences between delivery modalities on working alliance ratings. ► Telehealth is a promising method for disseminating behavior therapy for tics.