There is a dearth of research comparing the effects of iPad technology and paper-and-pencil-delivered interventions on student mathematics outcomes. Nine studies have compared intervention modalities such as computer-mediated instruction and teacher-mediated instruction to examine differences in student performance, but only two of these have used iPad technology to do so and neither examined student fact fluency as the outcome. The purpose of this study was to examine the effects of an iPad-based versus a paper-and-pencil-based flashcard intervention on the basic fact fluency of four second-grade boys within a Midwestern US charter school. Using an adapted alternating treatments design, three conditions were compared: iPad-delivered flashcards, paper-and-pencil-based flashcards, and a control condition. The results suggest that for three of four students, there was no difference in gains between treatment conditions, and both were more successful than the no-treatment control. Descriptive data on the acceptability and number of opportunities to respond between intervention modalities are described.