This preliminary study examines the effects of bilingualism on a modified confrontational naming task (CNT) in native and non-native English speakers. The broad objective was to explore specific aspects of bilingualism that affected performance, to better inform good clinical practice in neuropsychology for linguistically diverse populations. A-priori hypotheses included: 1) Age of English acquisition (AOA) predicts CNT performance; 2) There would be a significant group diff between native and non-native English speakers; and 3) There would be significant group differences between multilingual and bilinguals on CNT performance. The Boston Naming Test (BNT) and the Language Experience and Proficiency Questionnaire (LEAP-Q) were modified and administered via Qualtrix. A total of 30 adults participated in the study, including 15 men and 15 women (Mage = 28.83, SDage = 1.71), 17 Asian Americans/Asians, 5 White/Caucasian Americans, 4 Black or African Americans, 2 Latino/a/x, and 2 Native Americans, 13 participants who were native English-speakers, and 17 who were non-native English-speakers. All participants were bilingual and denied any history of neurological conditions. Regression analysis and Analysis of Variance were conducted to test a-priori hypotheses. Findings supported H1, as AOA significantly predicted confrontational naming performance on the modified version of BNT, b = -0.480, t = -3.097, p = 0.005. H2 and H3 were not supported as there were no significant group differences. This suggests that AOA should be considered when administering and interpreting CNT performance in bilinguals. Given the small sample size, bigger-scale replication might be beneficial to examine specific aspects of bilingualism affecting CNT performance.